Rural Response to the Opioid Crisis – Resources
Selected recent or important resources focusing on Rural Response to the Opioid Crisis.
Effects of the Communities that Heal (CTH) Intervention on Perceived Opioid-Related Community Stigma in the HEALing Communities Study: Results of a Multi-Site, Community-Level, Cluster-Randomized Trial
Examines levels of community stigma toward naloxone use, medication for opioid use disorder (MOUD), and people treated for opioid use disorder (OUD), as related to different periods during the Communities that Heal (CTH) intervention. Analyzes survey data from 66 communities across 4 states by rural-urban status regarding their perceptions of OUD. Discusses implications of the intervention for rural communities addressing OUD and stigma.
Author(s): Alissa Davis, Hannah K. Knudsen, Daniel M. Walker, et al.
Citation: The Lancet Regional Health - Americas, 32
Date: 04/2024
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Examines levels of community stigma toward naloxone use, medication for opioid use disorder (MOUD), and people treated for opioid use disorder (OUD), as related to different periods during the Communities that Heal (CTH) intervention. Analyzes survey data from 66 communities across 4 states by rural-urban status regarding their perceptions of OUD. Discusses implications of the intervention for rural communities addressing OUD and stigma.
Author(s): Alissa Davis, Hannah K. Knudsen, Daniel M. Walker, et al.
Citation: The Lancet Regional Health - Americas, 32
Date: 04/2024
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Exploring the Demographic and Professional Characteristics of Physicians and Nurse Practitioners Associated With Providing Medication-Assisted Treatment: A Retrospective Observational Study
Examines the factors that impact the likelihood of primary care physicians and nurse practitioners providing medication-assisted treatment (MAT) for opioid use disorder. Utilizes license renewal data to observe MAT treatment by primary care providers, with breakdowns according to demographics, medical specialty and setting, Medicaid and/or sliding fee use, and rurality.
Author(s): Hannah L. Maxey, Sierra X. Vaughn, Analise Dickinson, Robin Newhouse
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 61
Date: 03/2024
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Examines the factors that impact the likelihood of primary care physicians and nurse practitioners providing medication-assisted treatment (MAT) for opioid use disorder. Utilizes license renewal data to observe MAT treatment by primary care providers, with breakdowns according to demographics, medical specialty and setting, Medicaid and/or sliding fee use, and rurality.
Author(s): Hannah L. Maxey, Sierra X. Vaughn, Analise Dickinson, Robin Newhouse
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 61
Date: 03/2024
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Rural Communities Opioids Response Program (RCORP)
Highlights a review of the Rural Communities Opioid Response Program-Technical Assistance (RCORP-TA) program. Features a number of reports and briefs exploring the efficacy and perception of the technical assistance provided RCORP grantees from March 1, 2022 to September 30, 2023 by the RCORP-TA program.
Date: 02/2024
Sponsoring organization: WWAMI Rural Health Research Center
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Highlights a review of the Rural Communities Opioid Response Program-Technical Assistance (RCORP-TA) program. Features a number of reports and briefs exploring the efficacy and perception of the technical assistance provided RCORP grantees from March 1, 2022 to September 30, 2023 by the RCORP-TA program.
Date: 02/2024
Sponsoring organization: WWAMI Rural Health Research Center
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Stakeholder Perspectives on a Telemedicine Referral and Coordination Model To Expand Medication Treatment for Opioid Use Disorder in Rural Primary Care Clinics
Examines acceptability of utilizing an external telemedicine (TM) vendor to improve access to medications for opioid use disorder (MOUD) in rural areas. Analyzes interview data from 7 rural primary care clinics and a TM-MOUD vendor to explore themes such as logistical barriers, stigma, privacy, and access. Includes demographic data on survey respondents as well as acceptability ratings.
Author(s): Allison J. Ober, Alex R. Dopp, Sarah E. Clingan, et al.
Citation: Journal of Substance Use and Addiction Treatment, 156, 209194
Date: 01/2024
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Examines acceptability of utilizing an external telemedicine (TM) vendor to improve access to medications for opioid use disorder (MOUD) in rural areas. Analyzes interview data from 7 rural primary care clinics and a TM-MOUD vendor to explore themes such as logistical barriers, stigma, privacy, and access. Includes demographic data on survey respondents as well as acceptability ratings.
Author(s): Allison J. Ober, Alex R. Dopp, Sarah E. Clingan, et al.
Citation: Journal of Substance Use and Addiction Treatment, 156, 209194
Date: 01/2024
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Medicaid Coverage of Medications to Reverse Opioid Overdose and Treat Alcohol and Opioid Use Disorders
Report discusses access to medications for treating alcohol use disorder (AUD) and opioid use disorder (OUD) via Medicaid. Highlights policies and regulations that effect access and details Medicaid coverage in all 50 states, the District of Columbia, the U.S Virgin Islands, and Puerto Rico. Features a discussion about rural access.
Date: 01/2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report discusses access to medications for treating alcohol use disorder (AUD) and opioid use disorder (OUD) via Medicaid. Highlights policies and regulations that effect access and details Medicaid coverage in all 50 states, the District of Columbia, the U.S Virgin Islands, and Puerto Rico. Features a discussion about rural access.
Date: 01/2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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A Federally Qualified Health Center and Certified Community Behavioral Health Clinic Partnership in Rural Missouri
Case study describing a medication for opioid use disorder (MOUD) program partnership between a Federally Qualified Health Center and a certified community behavioral health clinic in rural southwest Missouri. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers interested in a similar partnership.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Sponsoring organization: Center for Health Care Strategies
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Case study describing a medication for opioid use disorder (MOUD) program partnership between a Federally Qualified Health Center and a certified community behavioral health clinic in rural southwest Missouri. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers interested in a similar partnership.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Sponsoring organization: Center for Health Care Strategies
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El Dorado Community Health Centers: Addressing the Opioid Epidemic in Rural California Through Community Partnerships
Case study describing how El Dorado Community Health Centers, a Federally Qualified Health Center (FQHC) in California, works with a community coalition to address the opioid epidemic and implement a medication for opioid use disorder (MOUD) program. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Sponsoring organization: Center for Health Care Strategies
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Case study describing how El Dorado Community Health Centers, a Federally Qualified Health Center (FQHC) in California, works with a community coalition to address the opioid epidemic and implement a medication for opioid use disorder (MOUD) program. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Sponsoring organization: Center for Health Care Strategies
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2022 National Survey on Drug Use and Health: Among the American Indian or Alaska Native (AIAN) Population Aged 12 or Older
Highlights data from the 2022 National Survey on Drug Use and Health pertaining specifically to American Indians and Alaska Natives (AI/AN) over the age of 12. Compares AI/AN rates of drug use and mental illness, as well as co-occurring disorders, to rates for the U.S. as a whole.
Date: 01/2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Highlights data from the 2022 National Survey on Drug Use and Health pertaining specifically to American Indians and Alaska Natives (AI/AN) over the age of 12. Compares AI/AN rates of drug use and mental illness, as well as co-occurring disorders, to rates for the U.S. as a whole.
Date: 01/2024
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Expanding Behavioral Health Care Workforce Participation in Medicare, Medicaid, and Marketplace Plans
Report highlights barriers to obtaining behavioral health treatment on Medicare, Medicaid, and Marketplace plans. Discusses barriers specific to rural and tribal communities. Details behavioral workforce needs and makes policy recommendations.
Additional links: Full Report
Author(s): Board on Health Care Services
Date: 2024
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Report highlights barriers to obtaining behavioral health treatment on Medicare, Medicaid, and Marketplace plans. Discusses barriers specific to rural and tribal communities. Details behavioral workforce needs and makes policy recommendations.
Additional links: Full Report
Author(s): Board on Health Care Services
Date: 2024
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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"I Don't Think That a Medication Is Going to Help Someone Long-Term Stay off Opioids": Treatment and Recovery Beliefs of Rural Vermont Family Members of People with Opioid Use Disorder
Examines beliefs related to opioid use disorder (OUD) treatment and recovery from the perspective of the family members of people with OUD. Analyzes interview data from 20 rural Vermont family members and discusses themes such as medication for OUD (MOUD), OUD treatment and mental health services, patient readiness for OUD treatment, and stigma.
Author(s): Catherine E. Peasley-Miklus, Julia G. Shaw, Katie Rosingana, et al.
Citation: Journal of Rural Health, 40(4), 681-688
Date: 2024
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Examines beliefs related to opioid use disorder (OUD) treatment and recovery from the perspective of the family members of people with OUD. Analyzes interview data from 20 rural Vermont family members and discusses themes such as medication for OUD (MOUD), OUD treatment and mental health services, patient readiness for OUD treatment, and stigma.
Author(s): Catherine E. Peasley-Miklus, Julia G. Shaw, Katie Rosingana, et al.
Citation: Journal of Rural Health, 40(4), 681-688
Date: 2024
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Last Updated: 1/29/2026