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Rural Response to the Opioid Crisis – Resources

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

Evaluation of Post-Discharge Engagement for Emergency Department Patients with Opioid Use History Who Received Telehealth Recovery Coaching Services
Examines successful interventions for patients in emergency departments (EDs) who receive peer recovery coach (PRC) services via telehealth that support patients with opioid use disorder (OUD). Analyzes 13 EDs in Indiana who implemented telehealth PRC services starting in 2018, including 7 rural Critical Access Hospitals (CAHs). Includes rate of successful follow-ups proceeding PRC services broken down by patient age, sex, race, drug use method, referral types, and metro, small, or rural living location.
Author(s): Dennis P. Watson, Peter Phalen, Spencer Medcalf, Sarah Messmer, Alan McGuire
Citation: Substance Abuse Treatment, Prevention,18(9)
Date: 02/2023
Type: Document
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Over the Hills and Through the Hollers: How One Program is Assisting Residents of Appalachia with Opioid Use Recovery
Results of a study evaluating the Kentucky Access to Recovery Program (KATR), which provides services to low-income adults recovering from opioid addiction in several rural eastern Kentucky counties. Examines the impact of KATR on service recipients' access to recovery services and supports.
Author(s): Aubrey E. Jones, Jayme E. Walters, Aaron R. Brown
Citation: Journal of Appalachian Health, 4(3), 71-86
Date: 01/2023
Type: Document
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2020 Rural Opioid Overdose Mortality
Highlights the rate of rural opioid overdose mortality in 2020 for several northern New England states and compares it to the national rate. Breaks down rates based on substances used as well.
Date: 01/2023
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Telemedicine Use and Quality of Opioid Use Disorder Treatment in the US During the COVID-19 Pandemic
Results of a study of 1,768 clinicians treating 11,801 patients with opioid use disorder (OUD), to examine the association between telemedicine adoption during the COVID-19 pandemic and indicators of OUD treatment quality. Explores medications for OUD (MOUD) prescribing and OUD-related clinical events, including drug overdose, inpatient detoxification, and rehabilitation center stay. Features statistics including patient and clinician characteristics, with breakdowns by metropolitan, micropolitan, small town, and rural location.
Author(s): Ruth Hailu, Ateev Mehrotra, Haiden A. Huskamp, Alisa B. Busch, Michael L. Barnett
Citation: JAMA Network Open, 6(1)
Date: 01/2023
Type: Document
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NSDUH (National Survey on Drug Use and Health) Detailed Tables - 2021
Presents 2021 survey data, including revisions, on use of illicit drugs, alcohol, and tobacco, trends in substance use disorder and mental health, and access to treatment for youth and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status. Includes information on substance use and mental health during the COVID-19 pandemic.
Date: 01/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Mental and Substance Use Disorders Prevalence Study: Findings Report
Report discusses the lifetime and past-year prevalence of mental health disorders and past-year substance use across the United States. Breaks down prevalence data by age, race, diagnosis, and rurality, among other measures.
Author(s): H. Ringeisen, M. Edlund, H. Guyer, et al.
Date: 2023
Type: Document
Sponsoring organization: RTI International
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Rural Communities Face More than an Opioid Crisis: Reimagining Funding Assistance to Address Polysubstance Use, Associated Health Problems, and Limited Rural Service Capacity
Examines progress reports from the first 4 quarters of the Rural Communities Opioid Response Program (RCORP) to identify both substances of concern (including but not limited to opioids) and related health issues in funded communities. Data highlight which substances and related health issues are of greatest concern and that communities have the least capacity to address. Includes guidance on future funding strategies for opioid and other substance use projects.
Author(s): Carolyn Carpenedo Mun, Heather Schuler, Robin Baker, et al.
Citation: Journal of Rural Health, 39(4), 795-803
Date: 2023
Type: Document
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Understanding Opioid Use Within a Southwestern American Indian Reservation Community: A Qualitative Study
Examines motivations, consequences, and general impact of opioid use among youth and young adult American Indians based on interviews with 18 individuals living in a Southwestern reservation community. Discusses prevention efforts such as family-based services and community program interventions.
Author(s): Emma Waugh, Jerreed Ivanich, Victoria O'Keefe, et al.
Citation: Journal of Rural Health, 39(1), 179-185
Date: 2023
Type: Document
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Exploring the Question of Financial Incentives for Training Amongst Non-adopters of MOUD in Rural Primary Care
Explores the role of stigma in West Virginia primary care providers' decision to undergo training to receive a medication for opioid use disorder (MOUD) waiver and the effect financial incentives have on that decision. Discusses providers' perceptions of MOUD treatment and perceived barriers to attaining a waiver, among other issues.
Author(s): Treah Haggerty, Nicholas A. Turiano, Tyra Turner, Patricia Dekeseredy, Cara L. Sedney
Citation: Addiction Science and Clinical Practice, 17, 72
Date: 12/2022
Type: Document
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Impact of Mandatory COVID-19 Shelter-in-Place Order on Controlled Substance Use Among Rural Versus Urban Communities in the United States
Features a study on the effect the shelter-in-place orders during the COVID-19 pandemic had on uses of controlled substances, such as methamphetamine, opioids, and cocaine, among others. Draws data from calls made to poison control centers from October of 2019 to July of 2020 and compares rates of calls by rural versus urban locations.
Author(s): Daniel Maeng, Yue Li, Michele Lawrence, et al.
Citation: Journal of Rural Health, 39(1), 21-29
Date: 12/2022
Type: Document
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Last Updated: 4/1/2024