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Substance Abuse in Rural Areas Resources

Selected recent or important resources focusing on Substance Abuse in Rural Areas.

The Health and Economic Concerns of Rural Americans
Presentation features a discussion on the role social and economic disparities play in the health of people in rural communities. Highlights the effect the opioid crisis has had in rural areas and discusses ways communities can use local resources to combat opioid abuse.
Date: 11/2018
Type: Video/Multimedia
Sponsoring organization: The Forum, Harvard T.H. Chan School of Public Health
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Traffic Safety Facts, 2017 Data: Alcohol-Impaired Driving
Explores national data on traffic crashes involving alcohol-impaired drivers. Compares factors such as road conditions, time of the year, and rural vs. urban roads, among others.
Date: 11/2018
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Surveillance for Cancers Associated with Tobacco Use — United States, 2010–2014
Reports on tobacco-associated cancer incidence for lung, bronchial, and tracheal cancers; laryngeal cancer; oral cavity and pharyngeal cancers; esophageal cancer; stomach cancer; colon and rectal cancers; liver cancer; pancreatic cancer; kidney and renal pelvis cancers; urinary bladder cancer; cervical cancer; and acute myeloid leukemia. Includes data for metropolitan and nonmetro counties, as well as by sex, age, race/ethnicity, tumor characteristics, U.S. census region, and state.
Author(s): M. Shayne Gallaway, S. Jane Henley, C. Brooke Steele, et al.
Citation: MMWR Surveillance Summaries, 67(12), 1-42
Date: 11/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Federal Resources for Rural Communities to Help Address Substance Use Disorder and Opioid Misuse
Presents a list of federal resources to help rural communities address opioid misuse. Lists resources and funding for healthcare, housing, and infrastructure, among other rural-specific needs.
Date: 10/2018
Type: Document
Sponsoring organization: USDA Rural Development
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HRSA’s Home Visiting Program: Supporting Families Impacted by Opioid Use and Neonatal Abstinence Syndrome: A Resource for MIECHV Awardees
Details a report for HRSA's Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program grantees on providing support to families impacted opioid use disorder (OUD) and neonatal abstinence syndrome (NAS). Discusses methods of treatments for newborns with NAS and Medication-Assisted Treatment (MAT) for pregnant women with OUD.
Date: 10/2018
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Integrating Opioid Use Disorder Treatment Into Health Workforce Training
Webinar recording discusses different ways to implement healthcare workforce training in methods of treatment for opioid use disorder. Features case studies in Colorado and in Nevada where the epidemic has largely been in rural areas.
Date: 10/2018
Type: Video/Multimedia
Sponsoring organization: Health Resources and Services Administration
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Life in Rural America
Summarizes the results of a survey of rural adults living in the U.S. Includes survey response data and statistics on a variety of topics such as: drug addiction or abuse and opioids; the economy; health conditions; suicide; and more.
Additional links: Full Report
Date: 10/2018
Type: Document
Sponsoring organizations: Harvard T.H. Chan School of Public Health, NPR, Robert Wood Johnson Foundation
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Federal Legislation to Address the Opioid Crisis: Medicaid Provisions in the SUPPORT Act
Brief details the Medicaid provisions in the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act. Discusses provisions aimed at treating substance use disorder in rural areas.
Author(s): MaryBeth Musumeci, Jennifer Tolbert
Date: 10/2018
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Opioid Crisis: Status of Public Health Emergency Authorities
Presents a report on the effectiveness of public health emergency authorities' response to the opioid crisis. Discusses the different public health emergency authorities selected by the U.S. Department of Health and Human Services and the activities underway to combat the opioid crisis.
Additional links: Full Report
Date: 09/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Data Sources and Data-Linking Strategies to Support Research to Address the Opioid Crisis: Final Report
Identifies and describes secondary data sources that can be used in research and evaluations related to the opioid crisis. Discusses common approaches used to link or merge data sources. Describes research needs and challenges related to studying the opioid crisis.
Author(s): Rosanna Smart, Courtney Ann Kase, Amanda Meyer, Bradley D. Stein
Date: 09/2018
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Evidence-Based Interventions for Adolescent Opioid Use Disorder
Presents a study on interventions targeting Opioid Use Disorder (OUD) in adolescents in Ohio. Focuses on interventions aimed at 11-18 year olds in 3 counties containing both rural and urban communities. Features a literature review of OUD interventions for adolescents.
Author(s): Christal Ramos, Lisa Clemans-Cope, Haley Samuel-Jakubos, Luis Basurto
Date: 09/2018
Type: Document
Sponsoring organization: Urban Institute
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Any Use and Frequent Use of Opioids among Non-elderly Adults in 2015-2016, by Socioeconomic Characteristics
Details a study on the rate of opioid prescribing for adults under the age of 65 from 2015-2016. Presents data regarding poverty status, race, and whether prescription was filled in a Metropolitan Statistical Area (MSA) or not, among other factors.
Author(s): G. Edward Miller, Asako S. Moriya
Date: 09/2018
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Changing Dynamics of the Drug Overdose Epidemic in the United States from 1979 Through 2016
Features a study on the changes in overdose mortality across the U.S. between 1979-2016. Aims to shed light on the current opioid crisis by placing it within a broader data set incorporating all illicit drug overdose deaths in a longer time frame. Details the specific changes in drug overdose mortality in rural areas.
Author(s): Hawre Jalal, Jeanine M. Buchanich, Mark S. Roberts, et al.
Citation: Science, 361(6408)
Date: 09/2018
Type: Document
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Opioid-Affected Births to Rural Residents
Examines rates of diagnosis of maternal opioid use disorder and infant neonatal abstinence syndrome for rural residents at time of childbirth. Includes statistics for delivery location with breakdowns by rural, urban non-teaching, and urban teaching hospitals.
Author(s): Katy Kozhimannil, Tongtan Chantarat, Alexandra Ecklund, Carrie Henning-Smith
Date: 09/2018
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Facing Addiction in America: The Surgeon General's Spotlight on Opioids
Provides data on prevalence of substance use, and opioid misuse, use disorders, overdoses, and related topics. Includes discussion of prevention programs and screening.
Date: 09/2018
Type: Document
Sponsoring organizations: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services
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Results from the 2017 National Survey on Drug Use And Health: Detailed Tables
Provides data on use of illicit drugs, alcohol, and tobacco, trends in substance use disorder and mental health, and access to treatment for youth 12-17 and adults. Features statistics for a variety of demographic and geographic characteristics.
Date: 09/2018
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Rural Health Opioid Program Funds Care Coordination Efforts for Recovery
Highlights programs funded by the Federal Office of Rural Health Policy that provide opioid treatment and recovery care coordination. An Ohio program uses care coordination in an existing syringe exchange program and county family drug court, a Kentucky program focuses on helping prisoners, and a Montana program reaches new and expectant mothers.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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2018 Annual Surveillance Report of Drug-related Risks and Outcomes
Summarizes latest information on opioid prescribing from 2006-2017; drug use, misuse, and substance use disorder from 2014-2015; nonfatal overdose hospitalizations and emergency department visits from 2015; and drug overdose mortality from 1999-2016. Features statistics with breakdowns by large metropolitan, small metropolitan, non-metropolitan urbanized, non-metropolitan less urbanized, and completely rural. Highlights notable differences in the report from 2017 to 2018.
Date: 08/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Non-Medical Opioid Use among Rural and Urban Pregnant Women, 2007-2014
Examines data from the National Survey on Drug Use and Health (NSDUH) from 2007 to 2014 to determine differences in non-medical opioid use among rural and urban pregnant women. Covers policy and practice implications to inform program and clinical efforts to address the crisis.
Author(s): Katy Kozhimannil, Carrie Henning-Smith, Tongtan Chantarat, Tongtan Chantarat, Cresta Jones
Date: 08/2018
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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The Intersection of Hepatitis, HIV, and the Opioid Crisis: The Need for a Comprehensive Response
Brief discusses the infectious diseases co-occurring with the opioid crisis and the need for comprehensive treatment. Details the relationship between opioid use disorder and HIV and hepatitis infection. Looks at barriers to care and presents suggestions to overcome them, such as increasing access to healthcare for low-income populations, among others.
Date: 07/2018
Type: Document
Sponsoring organization: National Alliance of State and Territorial AIDS Directors
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Education and Training for Primary Care Providers in Medication Assisted Treatment and Opioid Use Disorder Care
Twitter chat discusses Medication-Assisted Treatment (MAT) training for primary care providers. Features resources and discussion on effective ways of treating opioid use disorder. Hosted by the SAMHSA-HRSA Center for Integrated Health Solutions.
Date: 07/2018
Type: Website
Sponsoring organizations: Health Resources and Services Administration, Substance Abuse and Mental Health Services Administration
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Integrating Responses at the Intersection of Opioid Use Disorder and Infectious Disease Epidemics: Proceedings of a Workshop
Features the proceedings of a public workshop on the relationship between the opioid epidemic and the spread of infectious diseases. Presents research and policy options, such as integrating infectious disease treatment into opioid treatment and prevention efforts, as well as exploring the role of law enforcement. Discusses barriers to treatment and prevention in rural areas.
Additional links: Read Online
Date: 07/2018
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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The Opioid Epidemic: National Trends in Opioid-Related Overdose Deaths from 2000 to 2016
Details the rates of death caused by opioid overdoses throughout the U.S. from 2000-2016. Compares deaths caused by heroin and non-heroin opioids, as well as death rates in nonmetro, small/medium metro, and large metro areas. Companion Brief details overdose rates by state.
Additional links: The Opioid Epidemic: State Trends in Opioid-Related Overdose Deaths from 2000 to 2016
Author(s): Colin Planalp, Megan Lahr
Date: 06/2018
Type: Document
Sponsoring organization: State Health Access Data Assistance Center
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Adverse Childhood Experiences: A Driver of the Opioid Epidemic
Webinar recording discusses the role adverse childhood experiences (ACEs) in the opioid epidemic. Defines ACEs and looks at rates of substance abuse. Highlights data nationally and specific to West Virginia.
Additional links: Webinar Slides
Author(s): Michael R. Brumage
Date: 06/2018
Type: Video/Multimedia
Sponsoring organization: North Central Regional Center for Rural Development
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The Opioid Crisis and Economic Opportunity: Geographic and Economic Trends
Features a study on the relationship between economic opportunity and opioid use. Explores the correlation between poverty and opioid prescriptions, hospitalizations, and overdose rates. Features several nationwide maps of county-level data.
Author(s): Robin Ghertner, Lincoln Groves
Date: 06/2018
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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It’s an Addiction Crisis: Across Minnesota, the “Opioid Crisis” Is so Much More than Just Opioids
Details the opioid crisis in the state of Minnesota. Includes statistics on overdose deaths and treatment admissions for alcohol, heroin, methamphetamine, and other opiates. Covers hospital addition costs and workforce issues posing a barrier to access in rural areas. Reviews three rural community models working to address substance abuse.
Author(s): Marnie Werner
Date: 06/2018
Type: Document
Sponsoring organization: Center for Rural Policy and Development
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The Special Registration for Telemedicine: In Brief
Describes a proposed policy, as a means to address the opioid crisis, requiring providers who use telemedicine to complete a special registration process to increase access to telemedicine services, including the remote prescribing of medicine for substance abuse or mental health treatment. Covers special registration requirements and the seven categories under the practice of telemedicine authority recognized by the Controlled Substance Act (CSA).
Date: 06/2018
Type: Document
Sponsoring organization: Congressional Research Service
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Opportunities and Challenges to Utilizing Telehealth Technologies in the Provision of Medication Assisted Therapies in the Medi-Cal Program
Describes advantages and barriers to using telehealth for delivery of medication-assisted treatment (MAT) to California's Medicaid enrollees, especially those in rural and underserved areas. Includes recommendations for changes to California state laws in order to alleviate the challenges. Appendix C lists states allowing telehealth prescribing.
Date: 06/2018
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Report to Congress on Medicaid and CHIP, June 2018
Provides an in-depth examination of and makes recommendations on two critical issues, the high cost of prescription drugs and the opioid epidemic, as they relate to Medicaid. The opioid section includes discussion of rural access to treatment for substance use disorder. Also discusses Medicaid’s role as the nation’s largest payer for long-term services and supports.
Date: 06/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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CMS Roadmap to Address the Opioid Epidemic
An overview of the efforts the Centers for Medicare and Medicaid Services is undertaking to address the opioid epidemic. Highlights a three-pronged approach focusing on prevention, treatment, and data utilization to target prevention and treatment activities. Includes some information specific to rural areas.
Date: 06/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Getting Ready for an Upcoming Grant Opportunity: The Rural Communities Opioid Response
A collection of resources useful in preparing to apply for a Federal Office of Rural Health Policy grant opportunity, The Rural Communities Opioid Response, which is expected to be available in June 2018. Includes resources on building networks and partnerships, integrating behavioral health, care coordination, substance abuse, and applying for federal grants.
Date: 06/2018
Type: Website
Sponsoring organization: National Rural Health Resource Center
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SAMHSA Opioid Overdose Prevention Toolkit
Provides strategies for healthcare providers, communities, and local governments to help prevent opioid-related overdoses and deaths. Includes facts for community members, essential steps for first responders, information for prescribers, safety advice for patients and family members, and resources for overdose survivors and their families.
Date: 06/2018
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Prescribing Practices of Rural Physicians Waivered to Prescribe Buprenorphine
Highlights a study on the prescribing practices of rural physicians with buprenorphine waivers, which allow them to provide medication-assisted treatment (MAT) for opioid used disorder. Findings are based on surveys of all rural physicians with a Drug Enforcement Administration prescription waiver. Breaks down data by physician specialty, practice type, and waiver type, among other factors.
Author(s): Holly A. Andrilla, Cynthia Coulthard, Davis G. Patterson
Citation: American Journal of Preventive Medicine, 54(6) S3, S208-S214
Date: 06/2018
Type: Document
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Running the Numbers: County Level Dynamics of Heroin Mortality in North Carolina
Presents a study on opioid overdose mortality in North Carolina. Compares counties that have higher rates of overdose mortality with those with lower rates and aims to identify the factors that contribute to those rates.
Author(s): Alexander H Gunn, Bryce Bartlett, Grace Feng, et al.
Citation: North Carolina Medical Journal, 79(3), 195-200
Date: 05/2018
Type: Document
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As Fatal Overdoses Rise, Many Americans See Drug Addiction as a Major Problem in Their Community
Highlights the results of a Pew Research Center survey on fatal drug overdoses and public concern about the opioid crisis. Features data comparing rural, urban, and suburban areas.
Author(s): John Gramlich
Date: 05/2018
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Substance Use Among American Indian Youths on Reservations Compared With a National Sample of US Adolescents
Results of a study exploring substance use rates in 570 students in 8th, 10th, and 12th grades in 31 schools during the 2016-2017 school year. Features statistics comparing reservation-based American Indian youth with U.S. students in general, with breakdowns by type of substance use and previous 30-day prevalence of alcohol and drug use.
Author(s): Randall C. Swaim, Linda R. Stanley
Citation: JAMA Network Open 1(1)
Date: 05/2018
Type: Document
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Access to Syringe Services Programs — Kentucky, North Carolina, and West Virginia, 2013–2017
Overview of the role of syringe services programs (SSPs) in reducing hepatitis C transmission related to injection drug use. Describes the expansion of SSPs in Kentucky, North Carolina, and West Virginia from 2013 through August 1, 2017. Discusses the opportunity to improve access to care through SSPs, including access to related services such as medication-assisted treatment, which can be included in comprehensive SSPs.
Author(s): Danae Bixler, Greg Corby-Lee, Scott Proescholdbell, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(18), 529-532
Date: 05/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Traffic Safety Facts, 2016 Data: Rural/Urban Comparison of Traffic Fatalities
Reports 2016 Fatality Analysis Reporting System (FARS) data describing fatal motor vehicle crashes. Provides rural versus urban statistics for fatal motor vehicle crashes by time of day, speed, alcohol use, seat belt use, and rollover crashes.
Date: 04/2018
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Minnesota Accountable Community for Health Saves Medicaid $3.8 Million Through Its Opioid Prevention Initiative
Details the opioid prevention and cost saving efforts of a community health initiative in Morrison County, Minnesota. Discusses the measures implemented and the various participating entities, such as providers, pharmacies, social services, and law enforcement, among others.
Author(s): Amy Clary
Date: 04/2018
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Combating the Opioid Crisis: Improving the Ability of Medicare and Medicaid to Provide Care for Patients
Presents the U.S. House of Representatives Energy and Commerce Committee hearing on the role of Medicare and Medicaid in combating the opioid crisis. Features testimony from representatives of Centers for Medicare and Medicaid Services, Boston Medical Center, the Centene Corporation, Centerstone America, Geisinger Health System, and Magellan Healthcare.
Additional links: Mr. David Guth Testimony, Mr. Toby Douglas Testimony
Date: 04/2018
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee
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Opioid White Paper: Analysis of Responses to Committee Request for Information
Details an analysis of the information received by the U.S. House of Representatives Ways and Means Committee regarding the opioid crisis. Discusses the current state of the crisis and the measures currently in place regarding prevention and treatment.
Date: 04/2018
Type: Document
Sponsoring organization: House Ways and Means Committee
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The Opioid Crisis Response Act of 2018
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the Opioid Crisis Response Act of 2018. Features testimony from representatives of the Delaware Office of the Child Advocate, the National Association of State Alcohol and Drug Abuse Directors, and the Addiction Policy Forum.
Date: 04/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Combating the Opioid Crisis: Prevention and Public Health Solutions
Presents the U.S. House of Representatives Energy and Commerce Committee hearing on preventative measures and the role of public health in combating the opioid crisis. Features testimony from representatives of the Food and Drug Administration, Centers for Disease Control and Prevention, Substance Abuse and Mental Health Services, the National Association of County and City Health Officials, and the National Indian Health Board, among others.
Additional links: Michael E. Kilkenny Testimony, Stacy Bohlen Testimony
Date: 03/2018
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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The Geographic Variation in the Cost of the Opioid Crisis
Presents a study on the economic costs of the opioid crisis across the nation. Features state-by-state and county-level data on the monetary burden of opioid abuse on communities.
Author(s): Alex Brill, Scott Ganz
Date: 03/2018
Type: Document
Sponsoring organization: American Enterprise Institute
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Overdose Deaths Involving Opioids, Cocaine, and Psychostimulants — United States, 2015–2016
Examines age-adjusted death rates for overdoses involving all opioids, cocaine, and psychostimulants with abuse potential. Includes data by opioid subcategory for prescription opioids, heroin, and synthetic opioids. Provides data by urbanization level for metropolitan, micropolitan, and noncore counties, as well as data by decedent demographics.
Author(s): Puja Seth, Lawrence Scholl, Rose A. Rudd, Sarah Bacon
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(12), 349-358
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Integrating Infectious Disease Considerations with Response to the Opioid Epidemic: A Workshop
Presentation recordings discusses the link between the opioid crisis and infectious diseases, such as HIV and HCV. Features state-by-state, county-level, and rural information, particularly in southern states.
Additional links: Agenda, Jody Rich: Correctional Health, Nickolas Zaller: Challenges and Opportunities in Rural America
Date: 03/2018
Type: Video/Multimedia
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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California County Fact Sheets: Treatment Gaps in Opioid-Agonist Medication Assisted Therapy (OA-MAT) and Estimates of How Many Additional Prescribers Are Needed
Presents county-level estimates of opioid use disorder rates and treatment needs in California. Features statistics from 2016 including opioid overdose deaths, buprenorphine prescriptions, numbers of methadone patients, and February 2018 estimates of buprenorphine-waivered prescribers.
Author(s): Lisa Clemans-Cope, Douglas A. Wissoker, Marni Epstein
Date: 03/2018
Type: Website
Sponsoring organization: Urban Institute
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Infectious Diseases and Opioid Use Disorder (OUD) Policy Issues and Recommendations
Report details policy recommendations regarding infectious diseases, such as HIV and HCV, linked to injection drug use (IDU). Recommendations look at prevention as well as treatment. Features several important policy considerations for rural communities.
Date: 03/2018
Type: Document
Sponsoring organizations: HIV Medicine Association, Infectious Disease Society of America, Pediatric Infectious Disease Society
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Integrating Infectious Disease Considerations with Response to the Opioid Epidemic: A Workshop: The Geography of Infectious Diseases Related to the Opioid Epidemic
Presentation recording discusses infectious diseases co-occurring with the opioid crisis, specifically HIV and HCV transmission from injection drug use. Features a county-by-county data.
Author(s): Patrick Sullivan
Date: 03/2018
Type: Video/Multimedia
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Drug Overdose Rates Are Highest in Places With the Most Economic and Family Distress
Examines county-level drug-related mortality as it relates to economic distress and family dissolution. Includes discussion of differences in mortality seen in farm-dependent and mining-dependent rural counties.
Author(s): Shannon M. Monnat
Date: 03/2018
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Preventing Opioid Overdoses among Rural Americans
Policy brief focused on preventing rural opioid overdoses and reducing overdose deaths in rural areas. Identifies policy options and strategies including evidence-based prescribing methods, medication-assisted treatment (MAT), and overdose reversing medication. Includes three brief case studies.
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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What’s MAT Got to Do with It? Medication-Assisted Treatment for Opioid Use Disorder in Rural America
Provides an overview of medication-assisted treatment (MAT), an evidence-based treatment for opioid use disorder, with information on the science behind the disorder and how three MAT medications work. Highlights rural health organizations providing MAT treatment.
Author(s): Kay Miller Temple
Date: 03/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Opioid Epidemic: Definitions, Data, Solutions
Fact sheet presents data on opioids and overdose deaths among American Indians/Alaska Native populations. Details several policy based solutions for Native American communities.
Date: 03/2018
Type: Document
Sponsoring organization: National Congress of American Indians Policy Research Center
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Oversight Hearing on Opioids in Indian Country: Beyond the Crisis to Healing the Community
Presents the U.S. Senate Committee on Indian Affairs hearing on the opioid crisis in Indian Country. Features testimony from representatives of the U.S. Department of Justice, the Substance Abuse and Mental Health Administration, the Indian Health Service, the Port Gamble S'Klallam Tribe, and the National Indian Health Board.
Date: 03/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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The Opioid Crisis: Leadership and Innovation in the States
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on state policy approaches to combating the opioid crisis. Features testimony from the governors of Maryland and Oregon detailing the opioid interventions implemented in their states.
Date: 03/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Vital Signs: Trends in Emergency Department Visits for Suspected Opioid Overdoses — United States, July 2016-September 2017
Reports on changes in opioid overdoses seen in emergency departments (EDs) by region, state, and urbanization level. Addresses the need for real-time data to coordinate responses to outbreaks and the role ED data can play. Discusses how ED physicians and staff can help address future overdoses among ED patients. Figure 2 shows quarterly suspected opioid overdose data for metropolitan, micropolitan, and noncore counties.
Author(s): Alana M. Vivolo-Kantor, Puja Seth, R. Matthew Gladden, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(9), 279-285
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Pain in the Nation: The Drug, Alcohol and Suicide Crises and the Need for a National Resilience Strategy
Presents a report on the causes, costs, and potential solutions to the drug, alcohol, and suicide crisis in the U.S. Features updated data on opioid deaths in 2015-2016, as well as projected rates of drug, alcohol, and suicide deaths for 2025.
Additional links: Full Report
Author(s): Laura M. Segal, Anne De Biasi, Jennifer L. Mueller, Consultant Kendra May, Molly Warren
Date: 02/2018
Type: Document
Sponsoring organization: Trust for America's Health
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The Opioid Crisis: The Role of Technology and Data in Preventing and Treating Addiction
Highlights the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the use of data and technology interventions in combating the opioid epidemic. Features testimony from representatives of Express Scripts, the National Alliance for Model State Drug Laws, the Santa Clara University Public Health Program, and the University of Illinois at Chicago.
Date: 02/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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The Opioid Crisis: Impact on Children and Families
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the opioid crisis's effect on children and families. Features testimony from representatives of the 525 Foundation, Casey Family Programs, and Vanderbilt University Medical Center.
Date: 02/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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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.
Additional links: Executive Summary
Date: 02/2018
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Hearing on the Opioid Crisis: Removing Barriers to Prevent and Treat Opioid Abuse and Dependence in Medicare
Presents a U.S. House of Representatives Committee on Ways and Means Health Subcommittee hearing on the opioid crisis. Focuses specifically on addiction treatment and prevention efforts to protect older Americans who rely on Medicare.
Date: 02/2018
Type: Video/Multimedia
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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Substance Abuse Among Older Adults Opioid Issues and Trends in Rural America
Webinar recording discusses the opioid crisis and its effect on elderly people in rural areas. Features presentations by representatives from the National Advisory Committee on Rural Health and Human Services (NACRHHS) and Health Benefits ABCs.
Additional links: Webinar Slides
Date: 01/2018
Type: Video/Multimedia
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Rural Health Research Recap: Opioid Use and Treatment Availability
Summarizes key findings from the Rural Health Research Centers' most recent research on opioid use and treatment. Focuses on research related to opioid use in rural communities, treatment for opioid use disorder, perceived need and use of treatment, and rural community response. Provides links to each of the referenced source documents.
Date: 01/2018
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Communicating about Opioids in Appalachia: Challenges, Opportunities, and Best Practices
Describes how opioids are affecting Appalachia and offers suggestions on how community-based organizations can promote prevention and treatment, and eliminate the stigma of addiction.
Date: 01/2018
Type: Document
Sponsoring organizations: Appalachian Regional Commission, Oak Ridge Associated Universities
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The Opioid Crisis: An Examination of How We Got Here and How We Move Forward
Presents the full U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the opioid crisis, featuring a testimony from Sam Quinones, journalist and author of Dreamland: The True Tale of America's Opioid Epidemic.
Additional links: Written Testimony
Date: 01/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Perceived Treatment Need and Utilization for Illicit Drug and Opioid Use Disorders in Non-Metropolitan Areas
Gives estimates of perceived need and use of treatment for illicit drug and prescription pain reliever use disorders in 2008-2010, 2011-2013, and 2014-2015 among people ages 18-64. Includes statistics with breakdowns by urban or rural locations and by opioid, heroin, prescription drug, or any drug use disorder.
Author(s): Tyrone F. Borders, Hefei Wen
Date: 01/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Illicit Drug and Opioid Use Disorders among Non-Metropolitan Residents
Provides estimates of metropolitan and non-metropolitan past year drug use disorder rates among people ages 18-64 and temporal changes in past year drug use disorder prevalence rates. Includes statistics with metropolitan and non-metropolitan breakdowns for any drug, opioid, heroin, and prescription pain reliever use disorder.
Author(s): Tyrone F. Borders, Hefei Wen
Date: 01/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Rural and Urban Substance Use Differences: Effects of the Transition to College
Details a study on the differences in alcohol, tobacco, and marijuana use among college students from rural and urban areas. Looks at rates of usage for freshman, sophomores, and juniors enrolled in a large, public university in the Southeastern U.S. Breaks down data by age, gender, and race.
Author(s): Karen J. Derefinko, Zoran Bursac, Michael G. Mejia, Richard Milich, Donald R. Lynam
Citation: The American Journal of Drug and Alcohol Abuse, 44(2), 224-234
Date: 2018
Type: Document
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Child Welfare Substance Use
Discusses a study on the relationship between substance use, specifically opioid misuse, and child welfare caseloads. Explores reports of child abuse and foster care entries along with drug mortality rates and retail opioid sales. Features rural information in the second and third reports.
Date: 2018
Type: Website
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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The Opioid Crisis in Rural and Small Town America
Provides data on opioid mortality rates in 2016 and changes in opioid mortality from 1999 through 2016 for metropolitan and nonmetro counties. Also provides metro/nonmetro data on drug overdoses by type of opioid - heroin, prescription opioids, synthetic opioids, and unspecified opioids - from 1999 through 2016. Discusses challenges rural areas face in addressing the opioid crisis.
Author(s): Shannon M. Monnat, Khary K. Rigg
Date: 2018
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Leading a Faith-Based Charge Against Opioid Abuse: How a Minnesota Rural Health Organization Became a National Leader
Describes prescription drug abuse treatment efforts of CHI St. Gabriel's Health, a multifacility rural health organization in Little Falls, Minnesota.
Author(s): Patrick Rioux
Citation: Health Progress, 99(2), 29-32
Date: 2018
Type: Document
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Portraying a More Complete Picture of Illicit Drug Use Epidemiology and Policy for Rural America: A Competing Viewpoint to the CDC's MMWR Report
Commentary on the CDC MMWR report, Illicit Drug Use, Illicit Drug Use Disorders, and Drug Overdose Deaths in Metropolitan and Nonmetropolitan Areas — United States. Discusses a range of factors that may impact our understanding of nonmetropolitan drug use and identifies additional studies that have been undertaken related to nonmetro drug use. Also discusses potential differences in effective ways to address drug use in nonmetro compared to metro areas.
Author(s): Tyrone F. Borders
Citation: Journal of Rural Health, 34(1), 3-5
Date: 2018
Type: Document
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The Opioid Epidemic in Appalachia: Addressing Hurdles to Economic Development in the Region
Recording presents the U.S. House of Representatives Subcommittee on Economic Development, Public Buildings, and Emergency Management hearing on the opioid epidemic in Appalachia. Includes testimonies from representative of the Appalachian Regional Commission, the Center for Rural Pennsylvania, Operation UNITE, and the Drug Enforcement Agency.
Date: 12/2017
Type: Video/Multimedia
Sponsoring organization: House Committee on Transportation & Infrastructure, Subcommittee on Economic Development, Public Buildings, and Emergency Management
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The Front Lines of the Opioid Crisis: Perspectives from States, Communities, and Providers
Video recording details the Senate Health, Education, Labor, and Pensions (HELP) Committee hearing on the opioid epidemic. Features testimony detailing efforts to combat opioid addiction from representatives of the Virginia Commonwealth University School of Dentistry; the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities and Hospitals; the Wisconsin Prescription Drug Monitoring Program; and the Kentucky Justice and Public Safety Cabinet.
Date: 11/2017
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Rural America in Crisis: The Changing Opioid Overdose Epidemic
Discusses the history of the opioid epidemic and its effect on rural communities, as well as key functions of public health programs that can help prevent opioid overdoses. Lists several resources regarding opioids and overdose prevention.
Author(s): Rita Noonan
Date: 11/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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The President’s Commission on Combating Drug Addiction and the Opioid Crisis
Includes recommendations set forth by the President's Commission on Combating Drug Addiction and the Opioid Crisis to combat the opioid epidemic. Details plans for federal funding, prevention, treatment, education, and research. Discusses the role of the Department of Health and Human Services and the Department of Justice in facilitating the proposed course of action.
Date: 11/2017
Type: Document
Sponsoring organization: The President's Commission on Combating Drug Addiction and the Opioid Crisis
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Rural Youth Fight for Tobacco-Free Communities
Highlights teen-led programs to prevent tobacco use in rural Kentucky, Vermont, and Montana. Discusses the impact youth can have on local and state policy related to tobacco, and well as the effectiveness youth have in reaching their peers on this issue.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural Versus Urban Use of Traditional and Emerging Tobacco Products in the United States, 2013–2014
Details a study on tobacco usage in rural and urban areas from 2013-2014. Discusses usage of traditional tobacco products, such as cigarettes and smokeless tobacco, and emerging tobacco products, such as e-cigarettes and cigarillos. Breaks down data by gender, poverty level, and area of residence, among other factors.
Author(s): Megan E. Roberts, Nathan J. Doogan, Cassandra A. Stanton, et al.
Citation: American Journal of Public Health, 107(10), 1554-1559
Date: 10/2017
Type: Document
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Silence Surrounding Hepatitis C Status in Risk Relationships among Rural People Who Use Drugs
Highlights a study on hepatitis C (HCV) status among rural people who use drugs by injection (PWIDs). Discusses the rates at which HCV-positive PWIDs disclosed their diagnosis to their partners, close friends, and family.
Author(s): Megan G. Hofmeister, Jennifer R. Havens, April M. Young
Citation: The Journal of Primary Prevention, 38(5), 481-494
Date: 10/2017
Type: Document
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PROSPER Delivery of Universal Preventive Interventions with Young Adolescents: Long-term Effects on Emerging Adult Substance Misuse and Associated Risk Behaviors
Presents a study on the long term effects of substance abuse in young adults and the effectiveness of PROSPER prevention interventions for young adolescents. Features participants from 28 rural communities in Pennsylvania and Iowa.
Author(s): Richard Spoth, Cleve Redmond, Chungyeol Shin, et al.
Citation: Psychological Medicine, 47(3), 2246-2259
Date: 10/2017
Type: Document
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Prescription Opioid Misuse among Rural Community Pharmacy Patients: Pilot Study for Screening and Implications for Future Practice and Research
Examines rural and urban community pharmacy patients in Pennsylvania to describe and compare patterns of opioid medication misuse. Identifies demographic and risk factors associated with rural and urban opioid medication misuse. Includes demographic statistics by rural and urban areas, such as education, employment status, and misuse behaviors. Offers recommendations to address opioid medication misuse.
Author(s): Gerald T. Cochran, Rafael J. Engel, Valerie J. Hruschak, Ralph E. Tarter
Citation: Journal of Pharmacy Practice, 30(5), 498-505
Date: 10/2017
Type: Document
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The Opioid Epidemic and Federal Efforts to Address It: Frequently Asked Questions
Provides an overview of America's opioid problem, including information on abuse and supply, and discusses federal agencies and programs that address opioid abuse. Also discusses recent federal legislation and state-level policies that seek to combat the opioid problem.
Date: 10/2017
Type: Document
Sponsoring organization: Congressional Research Service
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Opioid Use Disorders: HHS Needs Measures to Assess the Effectiveness of Efforts to Expand Access to Medication-Assisted Treatment
Reviews U.S. Department of Health and Human Services' (HHS) efforts to expand access to and the use of medication assisted treatment (MAT) for treating opioid use disorders. Includes a discussion of rural-specific programs and makes recommendations for improving future efforts and overall program evaluation.
Additional links: Full Report
Date: 10/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Illicit Drug Use, Illicit Drug Use Disorders, and Drug Overdose Deaths in Metropolitan and Nonmetropolitan Areas — United States
Reports on trends in illicit drug use, illicit drug use disorders, and overdose deaths in large metropolitan, small metropolitan, and nonmetropolitan areas, based on 2003–2014 National Survey on Drug Use and Health (NSDUH) data and 1999–2015 National Vital Statistics System Mortality (NVSS-M) data. Includes metro/nonmetro illicit drug use data by sex, age group, race/ethnicity, and household income. Includes data on metro/nonmetro drug overdose deaths by sex, race/ethnicity, intent (unintentional, homicide, suicide, undetermined), and age group.
Author(s): Karin A. Mack, Christopher M. Jones, Michael F. Ballesteros
Citation: MMWR Surveillance Summaries, 66(19), 1-12
Date: 10/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Implementing Medication-Assisted Treatment for Opioid Use Disorder in Rural Primary Care: Environmental Scan Volume 1
Details challenges and barriers to implementing medication-assisted treatment (MAT) for opioid use disorder (OUD) in a primary care setting, such as healthcare policy, workforce, and financing, among others. Includes 250 tools and resources to help overcome barriers and support implementation MAT in rural areas.
Additional links: Tools and Resources
Author(s): Garrett E. Moran, Caroline M. Snyder, Rebecca F. Noftsinger, Joshua K. Noda
Date: 10/2017
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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The Federal Response to the Opioid Crisis
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the government's response on the opioid crisis. Includes testimonies from SAMHSA, CDC, NIH, and the FDA regarding current efforts to increase access to treatment for opioid addiction and promote preventative measures across the U.S.
Additional links: Written Testimony
Date: 10/2017
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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In Focus: Expanding Access to Addiction Treatment Through Primary Care
Discusses the lack of access to treatment for drug addiction and presents models for implementing medication-assisted treatment (MAT) for addiction, including one in a rural community health center. Looks at barriers to expanding MAT in primary care, as well as methods for overcoming those barriers.
Author(s): Martha Hostetter, Sarah Klein
Citation: Transforming Care: Reporting on Health System Improvement
Date: 09/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Tackling the Opioid Crisis in a Rural Community
Discusses a partnership between a rural hospital physician and the director of a community counseling center to establish a medication-assisted treatment (MAT) for opioid addiction in rural Maine. Presents the program's support structure, as well as the advantages of having an integrated treatment approach.
Date: 09/2017
Type: Document
Sponsoring organization: American Hospital Association
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Rural Older Adults Hit Hard by Opioid Epidemic
Describes the scarcity of overdose-related medical resources in rural areas, despite the relatively high rate of hospitalizations and death among rural opioid users ages 45 and older. Explores causes of increased opioid prescribing, health risks, associated elder abuse, barriers to care, and possible solutions.
Author(s): William F. Benson, Nancy Aldrich
Date: 09/2017
Type: Document
Sponsoring organization: American Society on Aging
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Opioid Use in Rural Areas Rural Health Chat
Summary of a September 2017 Twitter chat focused on the opioid epidemic. Documents a conversation among rural health experts addressing a range of topics, including the impact of opioids on rural communities, programs and services needed to address opioid misuse, barriers to accessing treatment, and innovative solutions.
Date: 09/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural Tobacco Control and Prevention
Webinar recording presents the Rural Tobacco Control and Prevention Toolkit developed by NORC Walsh Center for Rural Health Analysis. Features examples of successful programs from the Vermont Department of Health and the West Virginia University Extension Service - McDowell County.
Additional links: Audio Recording, PowerPoint Handout, Transcript
Date: 09/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Spit It Out-West Virginia
Video highlighting the Spit it Out program, which serves six West Virginia Coal Country counties. Describes how the Southern Coalfields Tobacco Prevention Coalition Network partnered with mining companies to reduce tobacco use, particularly smokeless tobacco use.
Date: 08/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Heartache, Pain, and Hope: Rural Communities, Older People, and the Opioid Crisis: An Introduction for Funders
Provides an overview of the opioid crisis and its impact on the lives of older adults. Addresses both opioid use by older adults and addiction within older adults' families. Identifies solutions being implemented by governments, communities, healthcare providers, and funders to address these concerns. Includes policy recommendations.
Date: 08/2017
Type: Document
Sponsoring organization: Grantmakers In Aging
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Patient Residence Characteristics of Opioid-Related Inpatient Stays and Emergency Department Visits Nationally and by State, 2014
Provides data on opioid-related hospital inpatient stays and emergency department (ED) visits from 2005 to 2014. Includes data by location of patient residence for metropolitan and rural areas. Identifies states where the highest rates of opioid-related inpatient stays and ED visits are in rural areas. Also provides data by community-level income.
Author(s): Audrey J. Weiss, Molly K. Bailey, Lauren O’Malley, et al.
Date: 07/2017
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Tobacco Control and Cessation in Rural Areas Rural Health Chat
Summary of a July 2017 Twitter chat focused on rural tobacco control and cessation. Documents a conversation among rural health experts addressing a range of topics, including tobacco use in rural areas, challenges rural residents face in quitting, the impact of tobacco use, innovative solutions, and resources to support rural tobacco control and cessation.
Date: 07/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Use of the Emergency Department for Mental Health and Substance Abuse among Women
Fact sheet identifying trends among rural and urban women who utilize the emergency department (ED) for treatment of substance abuse (SA) and/or mental health (MH) issues. Research seeks to help communities understand who is using the ED for MH and SA so they can provide more effective, less costly care.
Author(s): Shawnda Schroeder, Mandi-Leigh Peterson, Jordan Jaeger
Date: 07/2017
Type: Document
Sponsoring organization: Rural Health Reform Policy Research Center
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SLV N.E.E.D. (Naloxone - Education - Empowerment - Distribution)
Video featuring the San Luis Valley N.E.E.D. (Naloxone - Education - Empowerment - Distribution) program, which provides opioid-related education to healthcare providers and the community, as well as a naloxone distribution program and naloxone training for first responders in six rural Colorado counties.
Date: 07/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Barriers Rural Physicians Face Prescribing Buprenorphine for Opioid Use Disorder
Examines the barriers rural physicians who hold Drug Enforcement Agency (DEA) waivers to prescribe buprenorphine face. Seeks to explain why some rural physicians who hold a DEA waiver choose not to prescribe buprenorphine or treat a fewer number of patients than their waiver allows. Data was collected through a 2016 survey of all physicians with DEA waivers in rural areas.
Author(s): C. Holly A. Andrilla, Cynthia Coulthard, Eric H. Larson
Citation: Annals of Family Medicine, 15(4), 359-362
Date: 07/2017
Type: Document
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Reducing Rural Opioid Overdoses Webinar Recording
Webinar recording discusses the National Organization of State Offices of Rural Health (NOSORH) Report on Lessons from Rural Opioid Overdose Reversal Grant Recipients. Features presentations by FORHP Rural Opioid Overdose Reversal (ROOR) grantees: MaineGeneral Medical Center in Maine and Project Renew in West Virginia.
Additional links: MaineGeneral Webinar Slides, Project Renew Webinar Slides
Date: 06/2017
Type: Video/Multimedia
Sponsoring organization: National Organization of State Offices of Rural Health
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Rural and Urban Utilization of the Emergency Department for Mental Health and Substance Abuse
Details a report on the use of emergency services in treating mental health and substance abuse (MH/SA) in both rural and urban settings. Discusses healthcare needs of MH/SA patients, as well as the increasing demands on emergency departments. Breaks down data by urban, large rural, small rural, and isolated rural emergency departments, as well as by age and primary payer of patients.
Author(s): Shawnda Schroeder, Mandi Leigh-Peterson
Date: 06/2017
Type: Document
Sponsoring organization: Rural Health Reform Policy Research Center
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Prevention and Treatment of Substance Abuse in Rural Communities
Webinar recording discusses the challenges and strategies in stemming the rate of substance abuse in rural communities. Introduces the Rural Prevention and Treatment of Substance Abuse Toolkit, designed to help communities implement substance abuse programs. Presents several examples of state level programs focused on increasing access to naloxone and training for first responders to recognize and prevent overdoses.
Additional links: Audio Recording, PowerPoint Handout, Transcript
Date: 05/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Changes in the Supply of Physicians with a DEA DATA Waiver to Prescribe Buprenorphine for Opioid Use Disorder
Data brief describing changes in access to waivered physicians from 2012 to 2016. Features a county-level map and statistics with breakdowns by urban areas and three levels of rural areas.
Author(s): C. Holly A. Andrilla, Cynthia Coulthard, Eric H. Larson
Date: 05/2017
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Report on Lessons Learned from Rural Opioid Overdose Reversal Grant Recipients
Presents lessons learned from the recipients of the Rural Opioid Overdose Reversal (ROOR) Program grants. The ROOR Program was piloted by the Federal Office of Rural Health Policy (FORHP) in 2015 and seeks to combat the opioid crisis at the local level. Report also shares resources designed to assist other rural organizations and documents the impact of the pilot year program. Provides background information on each of the 18 original grant recipients and their programs.
Date: 04/2017
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Deaths of Despair: Drug, Alcohol, and Suicide Mortality in Small City and Rural America
Recording of an April 26, 2017 webinar focused on trends in drug, alcohol, and suicide mortality in the U.S. Discusses potential explanations for increased deaths from these causes over the past twenty years and examines regional variations in these deaths. Discusses strategies to combat these deaths of despair.
Author(s): Shannon Monnat
Date: 04/2017
Type: Video/Multimedia
Sponsoring organization: University of Wisconsin Institute for Research on Poverty
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Rural Opioid Prevention and Treatment Strategies: The Experience in Four States
Study examining strategies for dealing with the rural opioid crisis, including prevention, treatment, and recovery services. Uses data from interviews with key stakeholders in Indiana, North Carolina, Vermont, and Washington.
Additional links: Research and Policy Brief
Author(s): John A. Gale, Anush Y. Hansen, Martha Elbaum Williamson
Date: 04/2017
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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The Effects of Perceived Racial/Ethnic Discrimination on Substance Use Among Youths Living in the Cherokee Nation
Examines the frequency and intensity of perceived racial discrimination and the longitudinal relationship to substance abuse from a sample of American Indian, American Indian and White, and White adolescents living in small rural communities of northeast Oklahoma within the Cherokee Nation Tribal Jurisdictional Service Area (CNTJSA).
Author(s): Brady A. Garrett, Bethany J. Livingston, Melvin D. Livingston, Kelli A. Komroc
Citation: Journal of Child & Adolescent Substance Abuse, 26(3), 242–249
Date: 03/2017
Type: Document
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Prevention of Drug Use and Treatment of Drug Use Disorders in Rural Areas
Discusses the role and potential benefits of engaging rural communities in the treatment and prevention of substance use disorders. Includes a discussion of substance use problems in the rural context, and provides examples of useful tools and evidence-based strategies. Provides a list of additional resources, and a self-assessment tool designed to help identify needs, capacities, and strategies in your community.
Date: 03/2017
Type: Document
Sponsoring organization: United Nations Office on Drugs and Crime
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Combatting the Opioid Epidemic with Provider and Public Education
Highlights from a conversation with Fred Wells Brason II, discussing community-based efforts to reduce opioid misuse and abuse in rural communities. Brason helped found Project Lazarus in Wilkes County, North Carolina, which reduced the overdose rate in Wilkes County by 72 percent over three years. The Project Lazarus model has since spread to more than 20 states and focuses on cross-sector collaboration, public and provider education, and increasing access to treatment.
Citation: Transforming Care: Reporting on Health System Improvement
Date: 03/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Vermont Care Network Advocates for Behavioral Health and Developmental Disability Agencies
Highlights the work of the Vermont Care Network, which supports 16 non-profit agencies that provide behavioral health and developmental disability services in the state. Discusses cross-sector collaboration and integration of mental health, substance use, and developmental disability services with primary care.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 03/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Reducing Risky Sex among Rural African American Cocaine Users: A Controlled Trial
Details a study on a STI/HIV risk-reduction program for rural African American cocaine users. Looks specifically the intervention's effect on condom use and sexual risk negotiation skills, among other factors.
Author(s): Katharine E. Stewart, Patricia B. Wright, Brooke E. E. Montgomery, et al.
Citation: Journal of Health Care for the Poor and Underserved, 28(1), 528-547
Date: 02/2017
Type: Document
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Treating the Rural Opioid Epidemic
Policy brief reviewing the barriers to implementing effective, high-quality treatment for mental health and substance abuse issues in rural areas. Includes policy recommendations for addressing these issues, focusing on access to medication assisted treatment (MAT) and funding for rural mental health infrastructure.
Author(s): Christine Hancock, Heidi Mennenga, Nikki King, et al.
Date: 02/2017
Type: Document
Sponsoring organization: National Rural Health Association
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Integrating Substance Use Disorder Treatment and Primary Care
Discusses the role of primary care providers in improving access to substance use treatment, particularly for alcohol and opioid use disorders. Explores state-level options, such as Medicaid payments, continuing medical education (CME) requirements, and prescription drug monitoring programs. Examines the Screening, Brief Intervention, and Referral to Treatment (SBIRT) approach, and how access barriers may affect SBIRT implementation in rural areas.
Author(s): Charles Townley, Hannah Dorr
Date: 02/2017
Type: Document
Sponsoring organization: National Academy for State Health Policy
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A Community Partnership to Respond to the Heroin and Opioid Abuse Epidemic
Discusses the community response to heroin and opioid abuse in rural Carlton County, Minnesota. Details the county's collaboration with the Fond du Lac Band of Lake Superior Chippewa and St. Louis County to form the Carlton County Drug Abuse Task Force.
Author(s): Laura C. Palombi, Joe Vargo, Laura Bennett, et al.
Citation: Journal of Rural Health, 33(1), 110-113
Date: 01/2017
Type: Document
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Addiction Recovery Mobile Outreach Team (ARMOT)
Video featuring the Addition Recovery Mobile Outreach Team (ARMOT), a rural Pennsylvania program that helps people access substance abuse treatment. ARMOT staff meet with patients to discuss treatment options and with patients’ families to provide education and support.
Date: 01/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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The Effects of Rurality on Substance Use Disorder Diagnosis: A Multiple-groups Latent Class Analysis
Highlights a study of substance abuse disorder and unintentional drug overdose deaths in rural versus urban areas. Breaks down data by participant characteristics and by drug.
Author(s): Billy Brooks, Matthew McBee, Robert Pack, Arsham Alamian
Citation: Addictive Behaviors, 68, 24-29
Date: 2017
Type: Document
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Stem the Tide: Addressing the Opioid Epidemic
Presents a report on various methods hospitals and health systems can use to address the opioid epidemic. Discusses non-opioid pain management, prescribing practices, and treatment for substance use disorders, among other topics. Highlights several rural programs in the Case Examples sections.
Date: 2017
Type: Document
Sponsoring organization: American Hospital Association
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A Socioecological Approach to Addressing Tobacco-Related Health Disparities
Presents a sociological approach to reducing tobacco use. Focuses on addressing tobacco use in minority groups where usage is still prevalent. Analyzes factors that predispose various groups to tobacco use and discusses methods for prevention and cessation.
Additional links: Executive Summary
Date: 2017
Type: Document
Sponsoring organization: National Cancer Institute
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Protecting Our Infants Act: Report to Congress
Summary of the U.S. Department of Health and Human Services response to the Protecting Our Infants Act (2015), including background information about prenatal exposure to opioids; neonatal abstinence syndrome (NAS); evidence-based treatment and prevention programs; and suggestions to bridge the gap in barriers to care. Includes examples of successful rural programs and recommended guidelines for the prevention and treatment of opioid use disorder among reproductive age women.
Additional links: Protecting Our Infants Act: Final Strategy
Date: 2017
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Behavioral Health Barometer: United States, Volume 4
Provides a broad overview of behavior health in metropolitan and nonmetropolitan areas of the U.S. with an emphasis on illicit drug, alcohol, and tobacco use, as well as the estimated percentage of people living with serious mental illness. Includes special focus on the misuse of prescription pain relievers, heroin use, and medication-assisted therapy (MAT) for opioid addiction. Data is from the 2015 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services.
Date: 2017
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Medication-Assisted Treatment Models of Care for Opioid Use Disorder in Primary Care Settings
Report details 12 promising medication-assisted treatment (MAT) models for treatment of opioid use disorder in a primary care setting. Discusses rural issues in several models.
Date: 12/2016
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Opioid Overdose Experience, Risk Behaviors, and Knowledge in Drug Users from a Rural Versus an Urban Setting
Highlights a study on the overdose knowledge of opioid users from both rural and urban areas. Details participants' experience with overdosing and their responses to the Brief Opioid Overdose Knowledge (BOOK) questionnaire.
Author(s): Kelly E. Dunn, Frederick S. Barrett, Claudia Yepez-Laubach, et al.
Citation: Journal of Substance Abuse and Treatment, 71, 1-7
Date: 12/2016
Type: Document
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White Paper: Opioid Use, Misuse, and Overdose in Women
White paper discussing the need for prevention, treatment and recovery programs for women who have opioid use disorders. Focuses on the increase in opioid use among the female population and ways to help manage and respond to the impact of overuse and overdose. Includes information about how rural location affects use and treatment, particularly lack of access to care and overdose remedies.
Additional links: Final Report
Date: 12/2016
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services Office on Women's Health
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Vital Signs: Trends in HIV Diagnoses, Risk Behaviors, and Prevention Among Persons Who Inject Drugs — United States
Reports on trends in HIV diagnoses among people who inject drugs. Figure 1 shows data for urban and rural whites, African Americans, and Hispanics from 2008-2014.
Author(s): Cyprian Wejnert, Kristen L. Hess, H. Irene Hall, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 65(47), 1336-1342
Date: 12/2016
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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County-level Vulnerability Assessment for Rapid Dissemination of HIV or HCV Infections among Persons Who Inject Drugs, United States
Explores a study on the prevalence of HIV and hepatitis C virus (HCV) due to illicit injection drug use in rural areas. Identifies counties across the U.S. that are potentially vulnerable to HIV/HCV infections among people who inject drugs.
Author(s): Michelle M Van Handel, Charles E Rose, Elaine J Hallisey, et al.
Citation: Journal of Acquired Immune Deficiency Syndromes, 73(3), 323-331
Date: 11/2016
Type: Document
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Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health
Highlights ways substance use disorder treatment in rural and urban areas can be aligned with primary care, and provides recommendations and examples of how individuals, organizations, and communities can work together to reduce and prevent substance misuse.
Date: 11/2016
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Pennsylvania Mobile Team Addresses Substance Use Disorders
Features the Addiction Recovery Mobile Outreach Team (ARMOT) program, which supports patients in the recovery process and educates medical staff on addiction and recovery. ARMOT is a collaboration of three hospitals, two substance abuse providers, and the Armstrong-Indiana-Clarion Drug and Alcohol Commission.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Vital Signs: Disparities in Tobacco-Related Cancer Incidence and Mortality — United States, 2004–2013
Reports on trends and disparities in incidence and death rates for cancers related to cigarette smoking during 2004–2013. Includes data for urban and rural counties.
Author(s): S. Jane Henley, Cheryll C. Thomas, Saida R. Sharapova, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 65(44),1212-1218
Date: 11/2016
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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NACRHHS Policy Briefs on Emergency Care Models and Rural Opioid Misuse Implications
September 2016 webinar discussion of two policy briefs sent to the Secretary of the U.S. Department of Health and Human Services (HHS) regarding alternative provision for emergency care due to rural hospital closures and the impact of opioid misuse in rural communities. Presented by members of the National Advisory Committee on Rural Health and Human Services including Former Governor Ronnie Musgrove, Committee Chair; Kelly Evans, Chief Executive Officer for Beartooth Billings Clinic, Red Lodge, MT; and Paul Moore, Executive Secretary.
Additional links: Audio Recording, PowerPoint Handout, Transcript
Date: 09/2016
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Supply and Distribution of the Behavioral Health Workforce in Rural America
Discusses and compares the provider to population ratios of the behavioral health workforce in metropolitan and nonmetro (micropolitan and non-core) U.S. counties. A state-level analysis of the study is also available with information for all states.
Author(s): Eric H. Larson, Davis G. Patterson, Lisa A. Garberson, C. Holly A. Andrilla
Date: 09/2016
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Intervention, Treatment, and Prevention Strategies to Address Opioid Use Disorders in Rural Areas: A Primer on Opportunities for Medicaid-Safety Net Collaboration
A guide designed to assist state Medicaid directors, healthcare providers, and other stakeholders who work to reduce opioid addiction. Includes descriptions of successful state initiatives implemented to reduce deaths due to overdose, and improve access to quality care for rural, low-income individuals experiencing opioid addiction. Provides an infographic displaying the prevalence and increase of substance abuse disorder in the U.S.
Additional links: Rural Opioid Infographic
Author(s): Chiara Corso, Charles Townley
Date: 09/2016
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Results from the 2015 National Survey on Drug Use and Health: Detailed Tables
Provides data on use of illicit drugs, alcohol, and tobacco, trends in substance use disorder and mental health, and access to treatment for youth 12-17 and adults. Features statistics for a variety of demographic and geographic characteristics.
Date: 09/2016
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Fentanyl Law Enforcement Submissions and Increases in Synthetic Opioid-Involved Overdose Deaths - 27 States, 2013-2014
Reports on drugs testing positive for fentanyl. Provides information on synthetic opioid-involved deaths other than methadone, including fentanyl deaths. For 27 states with death certificate reporting of drugs involved in overdoses, provides data for metropolitan, micropolitan, and noncore areas.
Author(s): R. Matthew Gladden, Pedro Martinez, Puja Seth
Citation: MMWR (Morbidity and Mortality Weekly Report), 65(33), 837-843
Date: 08/2016
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Talking Rural Opioid Use at the United Nations: Q&A with Holly Andrilla
An interview with rural health researcher Holly Andrilla of the WWAMI Rural Health Research Center, recounting her experience presenting to the United Nations Office of Drugs and Crime in Vienna, Austria. Provides an international perspective on substance abuse prevention and treatment.
Author(s): Zachary Toliver
Citation: Rural Monitor
Date: 08/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Madison Outreach and Services through Telehealth (MOST) Network
Video featuring the Madison Outreach Services through Telehealth (MOST) Network, which serves the Hispanic/Latino population of Brazos Valley, Texas. Highlights their partnership with Texas A&M’s Telehealth Counseling Clinic, where doctoral-level students and promotoras connect with patients in remote clinics to offer mental health and substance abuse counseling.
Date: 07/2016
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Families in Crisis: The Human Service Implications of Rural Opioid Misuse
Presents findings and policy recommendations from the National Advisory Committee on Rural Health and Human Services' 2016 meeting with rural residents, healthcare providers, and stakeholders regarding the impact and effects of opioid use disorders on rural families. Topics addressed include drug overdose and death, conflict with partners and children, emotional disturbance, adverse health risks, and related impacts on employment and economic sustainability.
Date: 07/2016
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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On Pills and Needles: Counties Fight the Opioid Drug Crisis
Special issue focused on how counties are responding to the opioid crisis. Includes an interview with Michael Botticelli, director of the White House Office of National Drug Control Policy, focused on the federal response to rural opioid abuse.
Citation: County News
Date: 07/2016
Type: Document
Sponsoring organization: National Association of Counties
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The Opioid Epidemic: Rural Organizations Fight Back
Highlights programs across the country, such as the ANGEL Program, the Police Assisted Addiction and Recovery Initiative (PARRI) and the Second Chance Drug Initiative, in which police departments and treatment facilities work together to fight addiction and move drug users toward treatment rather than incarceration. Also discusses the use and availability of Naloxone, an opioid overdose reversal drug.
Author(s): Zachary Toliver
Citation: Rural Monitor
Date: 06/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural Tobacco Use Across the United States: How Rural and Urban Areas Differ, Broken down by Census Regions and Divisions
Examines rural and urban differences in tobacco use and variations across the U.S. by Census regions and divisions using 2012-2013 National Survey on Drug Use and Health (NSDUH) data. Covers rural and urban prevalence rates for tobacco products.
Author(s): Megan E. Roberts, Nathan J. Doogan, Allison N. Kurti, et al.
Citation: Health & Place, 39, 153-159
Date: 05/2016
Type: Document
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Prescription Opioid Use: Patient Characteristics and Misuse in Community Pharmacy
Highlights a study on prescription opioid use in both rural and urban communities in southwestern Pennsylvania. Analyzes data from an anonymous survey about opioid usage by type of drug and participant characteristics, such as age, gender, and education, among others.
Author(s): Gerald Cochran, Jennifer L. Bacci, Thomas Ylioja, et al.
Citation: Journal of the American Pharmacists Association, 56(3), 248-256
Date: 05/2016
Type: Document
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The Communities That Care Coalition Model for Improving Community Health through Clinical-Community Partnerships: A Population Health Case Report
Discussion paper featuring a community coalition in rural western Massachusetts focused on supporting youth well-being and reducing youth substance abuse. Describes the initiative and the partners involved, including clinicians and public health. Discusses how the Communities That Care Coalition works within a network of local coalitions, including acting as the prevention arm of the region's Opioid Task Force.
Author(s): Jeanette Voas, Katherine Allen, Ruth Potee
Date: 05/2016
Type: Document
Sponsoring organization: National Academy of Medicine
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The Opioid Epidemic: Testing the Limits of Rural Healthcare
Discusses the factors that make rural communities vulnerable to the ongoing opioid epidemic and efforts needed in rural areas to address this crisis, including the role of rural first responders.
Author(s): Zachary Toliver
Citation: Rural Monitor
Date: 05/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural Communities in Crisis: Strategies to Address the Opioid Crisis
Policy brief describing the effects of the opioid and heroin crisis occurring in rural areas. Covers challenges to rural healthcare organizations combating this issue face, and identifies and discusses policy recommendations addressing the opioid and heroin crisis in rural communities and in rural healthcare systems.
Author(s): John A. Gale, Dave Schmitz, Michael Meit, et al.
Date: 04/2016
Type: Document
Sponsoring organization: National Rural Health Association
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Sobriety and Alcohol Use Among Rural Alaska Native Elders
Reports findings from descriptive and correlational data gathered during a needs assessment regarding alcohol use among Inupiat and Yup'ik Eskimo elders residing in remote, rural villages in the Northwest region of Alaska.
Author(s): Monica C. Skewes, Jordan P. Lewis
Citation: International Journal of Circumpolar Health, 75(1), 30476
Date: 02/2016
Type: Document
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Rural Opioid Abuse: Prevalence and User Characteristics
Compares non-medical use of opioids, opiates, and heroin in rural and urban areas and assesses socioeconomic characteristics associated with their use.
Author(s): Jennifer D. Lenardson, John A. Gale, Erika C. Ziller
Date: 02/2016
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Increases in Acute Hepatitis B Virus Infections - Kentucky, Tennessee, and West Virginia, 2006-2013
Reports on increased rates of hepatitis B infections in three Appalachian states, particularly among injection drug users and in non-urban areas.
Author(s): Aaron M. Harris, Kashif Iqbal, Sarah Schillie, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 65(3), 47-50
Date: 01/2016
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Violent Victimization and Substance Dependency: Comparing Rural Incarcerated Heterosexual and Sexual Minority Women
Reports findings from a study of rural Appalachian women prisoners that looked at sexual identity and violent victimization experiences as they relate to alcohol and drug use.
Author(s): Melanie D. Otis, Carrie B. Oser, Michele Staton-Tindall
Citation: Journal of Social Work Practice in the Addictions, 16(1-2), 176-201
Date: 2016
Type: Document
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Illicit Drug Abuse in Rural Communities
Summary of a study of the use of illicit drugs (specifically, marijuana and cocaine) as well as alcohol and tobacco in rural communities for people 12 and older. Focuses on contributing socio-economic factors that may predict abuse of these substances. Includes data and statistics for rural-urban difference.
Author(s): Yoon G. Lee
Citation: Rural Connections, 10(1), 17-20
Date: 2016
Type: Document
Sponsoring organization: Western Rural Development Center
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Rural Behavioral Health: Telehealth Challenges and Opportunities
Reviews the barriers to mental and substance use disorder treatment and services in rural communities, presents ways telehealth can address these barriers, and discusses the challenges in implementing telehealth services in rural areas.
Citation: SAMHSA In Brief, 9(2)
Date: 2016
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Alcohol Use Patterns Among Urban and Rural Residents: Demographic and Social Influences
Analyzes the rates of alcohol use and alcohol use disorder (AUD) in urban and rural areas, and addresses the impact and the consequences of alcohol use on rural populations.
Author(s): Mark A. Dixon, Karen G. Chartier
Citation: Alcohol Research: Current Reviews, 38(1), 69–77
Date: 2016
Type: Document
Sponsoring organization: National Institute on Alcohol Abuse and Alcoholism
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Syringe Service Programs for Persons Who Inject Drugs in Urban, Suburban, and Rural Areas - United States, 2013
Describes characteristics of syringe service programs in urban, suburban, and rural areas. Includes information on program size, number of syringes exchanged, total funding, and whether public funding supports the program. Discusses the increase in opiate overdoses and prescription opiate use in rural areas and concerns related to the availability of syringe exchange programs in these areas.
Author(s): Don C. Des Jarlais, Ann Nugent, Alisa Solberg, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 64(48), 1337-41
Date: 12/2015
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Caring for Pregnant Opioid Abusers in Vermont: A Potential Model for Non-Urban Areas
Provides an overview of the challenges managed and the approach used for the development of a comprehensive program for the treatment of opioid dependence during pregnancy in rural Vermont.
Author(s): Marjorie Meyer, Julie Phillips
Citation: Preventive Medicine, 80, 18-22
Date: 11/2015
Type: Document
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Perceived Ease of Access to Alcohol, Tobacco and Other Substances in Rural and Urban US Students
Examines differences in perceived ease of access to both legal and illegal substances for adolescents in rural and urban areas of Georgia. Provides statistics with breakdowns by substance, rural/urban, and middle versus high school students.
Author(s): Jacob Warren, K. Bryant Smalley, K. Nikki Barefoot
Citation: Rural and Remote Health, 15(4), 3397
Date: 10/2015
Type: Document
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Implications of Rural Residence and Single Mother Status for Maternal Smoking Behaviors
Reports on a study using survey data to analyze and compare smoking behaviors of rural and urban mothers, both single and married, to determine if there is a relationship between prevalence of smoking, rurality, and single mother status.
Author(s): Jean A. Talbot, Donald Szlosek, Erika C. Ziller
Date: 10/2015
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Rural Adolescents Are More Likely Than Their Urban Peers to Abuse Prescription Painkillers
Provides an overview of the growing epidemic of prescription drug abuse by adolescents in small towns and in rural areas of the U.S., and emphasizes the urgency with which this epidemic should be addressed.
Author(s): Shannon M. Monnat, Khary K. Rigg
Date: 10/2015
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Where Is Buprenorphine Dispensed to Treat Opioid Use Disorders? The Role of Private Offices, Opioid Treatment Programs, and Substance Abuse Treatment Facilities in Urban and Rural Counties
Examines the impact of 2006 federal legislation allowing waivered physicians to prescribe and expand FDA approved buprenorphine as a treatment for opioid use disorder to a maximum of 100 patients. Discusses buprenorphine distribution by both urban and rural waivered physicians, opioid treatment programs, and treatment facilities for substance abuse.
Author(s): Bradley D. Stein, Rosalie L. Pacula, Adam J. Gordon, et al.
Citation: The Milbank Quarterly, 93(3), 561-583
Date: 09/2015
Type: Document
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Disparity in Naloxone Administration by Emergency Medical Service Providers and the Burden of Drug Overdose in US Rural Communities
Examines the factors that influence the administration of naloxone by emergency medical technicians (EMTs) in drug overdoses occurring in rural, suburban, and urban areas, using data from the National Emergency Medical Services Information System.
Author(s): Mark Faul, Michael W. Dailey, David E. Sugerman, et al.
Citation: American Journal of Public Health, 105(Suppl), e26-e32
Date: 07/2015
Type: Document
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Neonatal and Maternal Hospital Stays Related to Substance Use, 2006-2012
Examines newborn and maternal inpatient hospital stays associated with substance use, based on data from 38 states. Table 2 provides data by location of patient residence, for rural and urban locations.
Author(s): Kathryn R. Fingar, Carol Stocks, Audrey J. Weiss, Pamela L. Owens
Date: 07/2015
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Threading the Needle - How to Stop the HIV Outbreak in Rural Indiana
Perspective piece describing an outbreak of HIV in rural Indiana linked to prescription-opioid injection and the steps taken to address that outbreak. Identifies actions that physicians and states can take to prevent HIV outbreaks among injection-drug users.
Author(s): Steffanie A. Strathdee, Chris Beyrer
Citation: New England Journal of Medicine, 373(5), 397-399
Date: 07/2015
Type: Document
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Urban vs. Rural Differences in Prescription Opioid Misuse among Adults in the United States: Informing Region Specific Drug Policies and Interventions
A study analyzing data from the 2011 and 2012 National Survey on Drug Use and Health discussing the rural/urban differences in prescription opioid misuse.
Author(s): Khary K. Rigg, Shannon M. Monnat
Citation: International Journal of Drug Policy, 26(5), 484–491
Date: 05/2015
Type: Document
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Increases in Hepatitis C Virus Infection Related to Injection Drug Use Among Persons Aged ≤30 Years - Kentucky, Tennessee, Virginia, and West Virginia, 2006-2012
Discusses opioid abuse, drug injecting, and Hepatitis C Virus (HCV) infection in central Appalachia, with data on HCV infection rates for four states. Includes data for rural and urban areas by gender and race/ethnicity.
Author(s): Jon E. Zibbell, Kashif Iqbal, Rajiv C. Patel, Anil Suryaprasad, Kathy J. Sanders, Loretta Moore-Moravian, Jamie Serrecchia, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 64(17), 453-458
Date: 05/2015
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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A Rural Appalachian Faith-Placed Smoking Cessation Intervention
Describes a faith-oriented smoking cessation program comprising 590 smokers in 26 churches located in rural Appalachia. Discusses 3 themes identified by the participant’s evaluation of the program including the program’s ability to leverage social connections, be conveniently orientated, and to provide financial support for smoking cessation.
Author(s): Nancy E. Schoenberg, Henry E. Bundy, Jordan A. Baeker Bispo, et al.
Citation: Journal of Religion and Health, 54(2), 598-611
Date: 04/2015
Type: Document
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Ethnic Differences in Associations Among Popularity, Likability, and Trajectories of Adolescents’ Alcohol Use and Frequency
Highlights a study on alcohol use as it is related to social popularity by minority adolescents in rural communities. Breaks down data by grade level and frequency of use, among other factors.
Author(s): Sophia Choukas-Bradley, Matteo Giletta, Enrique W. Neblett, Mitchell J. Prinstein
Citation: Child Development, 86(2), 519-535
Date: 03/2015
Type: Document
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The Future of Rural Behavioral Health
Policy paper discussing the unique challenges of providing behavioral healthcare services in rural areas. Includes policy recommendations and interventions related to workforce development, reimbursement and financing, integration of care, and the use of technology in delivering behavioral healthcare.
Author(s): Will Wilson, Angela Bangs, Tammy Hatting
Date: 02/2015
Type: Document
Sponsoring organization: National Rural Health Association
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Federal Guidelines for Opioid Treatment Programs
Highlights guidelines for planning and implementing an opioid treatment program. Features information on the use of telemedicine, as well as exemptions for serving rural areas.
Date: 01/2015
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Rural/Urban Residence, Access, and Perceived Need for Treatment among African American Cocaine Users
Reports findings from a study based on surveys from 400 adult African American cocaine users, half from 2 rural counties and half from 1 urban county in Arkansas. Discusses participants' perceived need for drug use treatment, factors predisposing treatment, and socioeconomic factors that enable or discourage treatment.
Author(s): Tyrone F. Borders, Brenda M. Booth, Katharine E. Stewart, et al.
Citation: Journal of Rural Health, 31(1), 98-107
Date: 01/2015
Type: Document
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Rural Substance Use Treatment Centers in the United States: An Assessment of Treatment Quality by Location
Investigates the differences in treatment quality in rural and urban substance abuse treatment centers to determine if these differences are a result of structural characteristics and rurality.
Author(s): Mary Bond Edmond, Lydia Aletraris, Paul M. Roman
Citation: American Journal of Drug and Alcohol Abuse, 41(5), 449-457
Date: 2015
Type: Document
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Geographic and Specialty Distribution of US Physicians Trained to Treat Opioid Use Disorder
Illustrates the geographic distribution (rural-urban status) and the availability of physicians who receive waivers from the Drug Enforcement Administration (DEA) to prescribe medication and to treat patients with opioid use disorder.
Author(s): Roger A. Rosenblatt, C. Holly A. Andrilla, Mary Catlin, Eric H. Larson
Citation: Annals of Family Medicine, 13(1), 23-26
Date: 2015
Type: Document
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Behavioral Health Equity Barometer: United States, 2014
Reports on differences in prevalence of behavioral health disorders, perceptions of risk, and access to treatment for different populations. Includes information for metropolitan and nonmetropolitan residents, as well as by race/ethnicity, income level, and health insurance status.
Date: 2015
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Risk Factors for HCV Infection Among Young Adults in Rural New York Who Inject Prescription Opioid Analgesics
Details a study of hepatitis C virus (HCV) prevalence among people who inject drugs and those who misuse prescription opioid analgesics in rural New York. Analyzes cohort by age, gender, age at first injection, and use of a syringe exchange program, among others.
Author(s): Jon E. Zibbell, Rachel Hart-Malloy, John Barry, Lillian Fan, Colleen Flanigan
Citation: American Journal of Public Health, 104(11), 2226-2232
Date: 11/2014
Type: Document
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METelemedicine: A Pilot Study With Rural Alcohol Users on Community Supervision
Describes a study of 127 alcohol users from 4 rural counties in Appalachian Kentucky who underwent several intervention sessions using motivational enhancement therapy via telemedicine (METelemedicine). Discusses the use of METelemedicine as a means of increasing access to treatment for rural alcohol users. Analyzes results at the 3 month follow-up from initial screening.
Author(s): Michele Staton-Tindall, Jennifer R. Havens, J. Matthew Webster, Carl Leukefeld
Citation: Journal of Rural Health, 30(4), 422-432
Date: 10/2014
Type: Document
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Building the Evaluation Capacity of Local Programs Serving American Indian/Alaska Native Populations: Lessons Learned
Describes technical assistance provided to help tribal communities develop their evaluation capacity so they could show that the substance abuse prevention programs they were undertaking were effective. Includes discussion of facilitators and challenges related to building evaluation capacity.
Date: 10/2014
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings
Presents summary results of the 2013 survey on the use of illicit drugs, alcohol, and tobacco by youth and adults. Includes data for metropolitan and non-metropolitan areas.
Additional links: Detailed Tables
Date: 09/2014
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Predictors of Heavy Episodic Drinking and Weekly Drunkenness among Immigrant Latinos in North Carolina
Analyzes the elements linked with excessive drinking among the rural immigrant Latino male population in North Carolina.
Author(s): J. Daniel-Ulloa, B.A. Reboussin, P.A. Gilbert, et al.
Citation: American Journal of Men's Health, 8(4), 339-348
Date: 07/2014
Type: Document
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Barriers to Substance Abuse Treatment in Rural and Urban Communities: A Counselor Perspective
Compares rural and urban substance abuse counselors’ perceptions of barriers to providing substance abuse treatment by analyzing data collected from 28 counselors in Kentucky.
Author(s): Erin Pullen, Carrie Oser
Citation: Substance Use & Misuse, 49(7), 891-901
Date: 06/2014
Type: Document
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A Comparison of Mental Health, Substance Use, and Sexual Risk Behaviors Between Rural and Non-Rural Transgender Persons
Evaluates the mental health, substance use, and sexual risk behaviors of transgender persons in both rural and non-rural areas to determine the need for mental and physical health services.
Author(s): Keith J. Horvath, Alex Iantaffi, Rebecca Swinburne-Romine, Walter Bockting
Citation: Journal of Homosexuality, 61(8), 1117-1130
Date: 06/2014
Type: Document
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Suicide Among Young Alaska Native Men: Community Risk Factors and Alcohol Control
Results of a study examining the variation in suicide rates among rural Alaskan Native men.
Author(s): Matthew Berman
Citation: American Journal of Public Health, 104(Suppl 3), S329-S335
Date: 06/2014
Type: Document
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Can We Build an Efficient Response to the Prescription Drug Abuse Epidemic? Assessing the Cost Effectiveness of Universal Prevention in the PROSPER Trial
Reports on a study evaluating the effectiveness and the cost-effectiveness of 4 universal evidence-based-preventive-interventions (EBPIs) in reducing nonmedical prescription opioid use. Sample population included 6th grade school children from 28 rural public school districts, evenly divided between Iowa and Pennsylvania. Families were offered a single family-based intervention program in 6th grade, and 1 of 3 school-based intervention programs in 7th grade.
Author(s): D. Max Crowley, Damon E. Jones, et al.
Citation: Preventive Medicine, 62, 71-77
Date: 05/2014
Type: Document
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Trust in Physicians Among Rural Medicaid-Enrolled Smokers
Reports on a study of rural Medicaid-enrolled adult smokers participating in a tobacco cessation program to assess their level of trust in their physicians and the relationship between trust and patient characteristics and physician performance.
Author(s): Emory Nelms, Ling Wang, Michael Pennell, et al.
Citation: Journal of Rural Health, 30(2), 214–220
Date: 04/2014
Type: Document
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Barriers to Primary Care Physicians Prescribing Buprenorphine
Reports on a study of physicians in the State of Washington who participated in a Rural Opioid Addiction Management Project on the use of buprenorphine-naloxone in the treatment of opioid use disorders. Study determined the percentage of physicians who prescribed this treatment, the characteristics associated with the prescribing physicians, the number of patients treated, and the barriers found when integrating this treatment into their outreach practice.
Author(s): Eliza Hutchinson, Mary Catlin, C. Holly A. Andrilla, et al.
Citation: Annals of Family Medicine, 12(2), 128-133
Date: 03/2014
Type: Document
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'It's about the Smoke, Not the Smoker': Messages That Motivate Rural Communities to Support Smoke-free Policies
Discusses the results of a series of focus groups and surveys with community activists in three rural Kentucky counties regarding the use of promotional materials used to endorse smoke-free policies.
Author(s): Ganna Kostygina, Ellen J. Hahn, Mary Kay
Citation: Health Education Research, 29(1), 58-71
Date: 02/2014
Type: Document
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Understanding the Rural–Urban Differences in Nonmedical Prescription Opioid Use and Abuse in the United States
This report analyzes the risk factors, including availability and access, that drive nonmedical prescription opioid drug misuse and abuse in U.S. states with large rural populations.
Author(s): Katherine M. Keyes, Magdalena Cerdá, Joanne E. Brady, Jennifer R. Havens, Sandro Galea
Citation: American Journal of Public Health, 102(2)
Date: 02/2014
Type: Document
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Addressing the Specific Behavioral Health Needs of Men
Addresses specific treatment needs of adult men with substance use disorders. Reviews gender-specific research and best practices, such as common patterns of initiation of substance use among men and specific treatment issues and strategies. Includes a discussion of how these issues impact rural men.
Date: 2014
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Religiosity and Sexual Risk Behaviors Among African American Cocaine Users in the Rural South
Reports on a study investigating the association between religious behavior and sexual behavior among African Americans in rural Arkansas who use cocaine.
Author(s): Brooke E.E. Montgomery, Katharine E. Stewart, Karen H.K. Yeary, et al.
Citation: Journal of Rural Health, 30(3), 284-291
Date: 2014
Type: Document
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Extreme Binge Drinking Among 12th-Grade Students in the U.S.: Prevalence and Predictors
Analyzes the frequency and predictors of binge drinking and extreme binge drinking by 12th graders in rural and urban areas of the U.S.
Author(s): Megan E. Patrick, John E. Schulenberg, Meghan E. Martz, et al.
Citation: JAMA Pediatrics, 167(11), 1019-25
Date: 11/2013
Type: Document
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Cost-Effectiveness of the Strong African American Families - Teen Program: 1-Year Follow-Up
A study to determine the cost-effectiveness of the Strong African American Families – Teen Program (SAAF-T) in the prevention of alcohol use and binge drinking by rural African American youth.
Author(s): Justin B. Ingels, Phaedra S. Corso, Steve M. Kogan, Gene H. Brody
Citation: Drug and Alcohol Dependence, 133(2), 556-561
Date: 08/2013
Type: Document
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Comparing Teen Substance Use in Northern New Hampshire to Rural Use Nationwide
Analyses 2011 data from Carsey Institute’s Coös Youth Study and the National Survey on Drug Use and Health to examine teen substance use patterns in New Hampshire’s most rural county compared to patterns among rural youth nationwide.
Author(s): Karen T. Van Gundy
Date: 07/2013
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Nonmedical Use of Prescription-Type Drugs, by County Type
Provides tables and charts identifying the nonmedical use of prescription-type drugs by county in the U.S. Includes demographic characteristics of population surveyed and compares rural with metropolitan and non-metropolitan counties.
Date: 04/2013
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Individual and Network Factors Associated With Prevalent Hepatitis C Infection Among Rural Appalachian Injection Drug Users
Examines the connection between injection drug users and Hepatitis C infections in rural Kentucky. Features statistics with breakdowns including sex, age, race, ethnicity, and various risk behaviors.
Author(s): Jennifer R. Havens, Michelle R. Lofwall, Simon D. W. Frost, et al.
Citation: American Journal of Public Health, 103(1), 44-52
Date: 01/2013
Type: Document
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Medicaid Handbook: Interface with Behavioral Health Services
Provides a basic understanding of the Medicaid program, specifically emphasizing the interplay between Medicaid principles and the provision of behavioral health services in both rural and urban settings.
Date: 2013
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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A Comparison of Rural and Urban Substance Abuse Treatment Admissions
Compares rural and urban data in terms of substance abuse treatment admissions by age, gender, race and ethnicity, education level, employment status, income source, health insurance status, substance, and source of treatment referral.
Date: 07/2012
Type: Document
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Risk Factors for Smoking in Rural Women
Highlights a study on the connections between sociodemographic and psychological factors and smoking for rural women in Appalachian Ohio. Analyzes participant data by socioeconomic status, symptoms of depression, and demographics, such as age at first pregnancy and single mother status, among others.
Author(s): Mary Ellen Wewers, Pamela J. Salsberry, Amy K. Ferketich, et al.
Citation: Journal of Woman's Health, 21(5), 548-556
Date: 05/2012
Type: Document
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Physical Victimization of Rural Methamphetamine and Cocaine Users
Evaluates the association between stimulant use of cocaine and/or methamphetamines and violence occurring among rural substance abuse users in eastern Arkansas, western Kentucky, and western Ohio.
Author(s): Teresa L. Kramer, Tyrone F. Borders, Shanti Tripathi, et al.
Citation: Violence and Victims, 27(1), 109-124
Date: 05/2012
Type: Document
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An Evidence-Based Cessation Strategy Using Rural Smokers' Experiences With Tobacco
Describes personal narratives of current and former smokers living in an economically distressed, rural area of Appalachian Kentucky to identify effective population-based strategies to reach rural smokers and motivate them to quit.
Author(s): Karen M. Butler, Susan Hedgecock, Rachel A. Record, et al.
Citation: Nursing Clinics of North America, 47(1), 31-43
Date: 03/2012
Type: Document
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Adolescent Alcohol Use: Do Risk and Protective Factors Explain Rural-Urban Differences?
Examines alcohol use among rural and urban adolescents between the ages of 12 and 17. Controls for a broad range of key risk and protective factors and compares rural/urban differences.
Additional links: Policy Brief
Author(s): John A. Gale, Jennifer D. Lenardson, David Lambert, David Hartley
Date: 03/2012
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Cutting Tobacco's Rural Roots: Tobacco Use in Rural Communities
The fifth report in the American Lung Association’s Disparities in Lung Health Series. Examines the prevalence of tobacco addiction and exposure to secondhand smoke in rural communities nationwide, particularly among rural youth.
Date: 2012
Type: Document
Sponsoring organization: American Lung Association
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Preventing Suicide: A Toolkit for High Schools
Provides tools and resources for high schools, school districts, and their partners to design and implement strategies to prevent suicide. Promote behavioral and mental health among students with a special focus on American Indian students and other minority student populations in rural and urban areas.
Date: 2012
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General
Addresses the prevalence, causes, effects, and implications of tobacco use by young people in rural and urban areas. Describes factors that lead youth and young adults to start using tobacco and the impact their choice has on the nation, communities, families, and individuals. Identifies proven, effective strategies that have potential to reduce tobacco use.
Date: 2012
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Smoke-Free Policies at Home, Church, and Work: Smoking Levels and Recent Quit Attempts Among a Southeastern Rural Population, 2007
Examines the effect of smoke-free policies and social support for quitting smoking in the home, at church, and at work for rural African Americans and whites in 4 Georgia counties.
Author(s): Carla Berg, Deanne W. Swan, Michelle C. Kegler, George Fredrick, Sandra Daniel
Citation: Preventing Chronic Disease, 9
Date: 12/2011
Type: Document
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Prescription Painkiller Overdoses in the US
Discusses the increase in overdose deaths from prescription painkillers in the last decade. Reports that those living in rural counties are twice as likely to overdose on prescription painkillers compared to those living in urban.
Date: 11/2011
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Assessment of Awareness of Connectedness as a Culturally-Based Protective Factor for Alaska Native Youth
Describes development of the Awareness of Connectedness Scale, a quantitative scale tested with 284 Alaska Native youth to assess risk, resiliency, and change, based on cultural concepts of disorder, wellness, and healing.
Author(s): Nathaniel V. Mohatt, Carlotta C. Ting Fok, Rebekah Burket, David Henry, James Allen
Citation: Cultural Diversity and Ethnic Minority Psychology, 17(4), 444–455
Date: 10/2011
Type: Document
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Rural Drug Users: Factors Associated with Substance Abuse Treatment Utilization
Reports on a three-state study that compares rural drug users’ substance abuse history and substance abuse treatment utilization patterns to determine if there is an association between substance abuse treatment, or the underutilization of treatment, and other health problems.
Author(s): Carrie B. Oser, Carl G. Leukefeld, Michele Staton-Tindall, et al.
Citation: International Journal of Offender Therapy and Comparative Criminology, 55(4), 567-586
Date: 06/2011
Type: Document
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Individual and Network Factors Associated with Non-fatal Overdose among Rural Appalachian Drug Users
Presents a study on the prevalence of non-fatal prescription drug overdoses in rural Appalachian Kentucky. Breaks down data by whether the overdose was experienced or witnessed, injection drug use, and lifetime drug use, among other factors.
Author(s): Jennifer R. Havens, Carrie B. Oser, Hannah K. Knudsen, et al.
Citation: Drug and Alcohol Dependence, 115(1-2), 107-112
Date: 05/2011
Type: Document
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Nonmedical Prescription Drug Use in a Nationally Representative Sample of Adolescents: Evidence of Greater Use Among Rural Adolescents
Analyzes a sample of adolescents aged 12 to 17 to determine if rural residence is linked with nonmedical prescription drug use and the factors related to nonmedical prescription drug use.
Author(s): Jennifer R. Havens, April M. Young, Christopher E. Havens
Citation: JAMA Pediatrics, 165(3), 250-255
Date: 03/2011
Type: Document
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Distance Traveled and Cross-state Commuting to Opioid Treatment Programs in the United States
Presents a study on commuting distance of patients in opioid treatment programs (OTP). Analyzes data collected from 23,141 methadone patients enrolled in 84 OTP centers across the U.S. from 2005-2009.
Author(s): Andrew Rosenblum, Charles M. Cleland, Chunki Fong, et al.
Citation: Journal of Environmental and Public Health, 2011, 948789
Date: 2011
Type: Document
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Northwest Tribal Substance Abuse Action Plan: A Five-Year Strategic Plan for the Tribes of Idaho, Oregon, and Washington, 2011-2015
An action plan developed to provide substance abuse prevention and treatment intervention strategies responsive to the existing capacity and needs of 43 federally-recognized tribes in Idaho, Oregon and Washington.
Date: 2010
Type: Document
Sponsoring organization: Northwest Portland Area Indian Health Board
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Availability, Characteristics, and Role of Detoxification Services in Rural Areas
Reports on rural detoxification (detox) providers, including their characteristics, access issues, and geographic distribution. Based on data from a national inventory of facilities providing substance abuse treatment services.
Additional links: Policy Brief: Few and Far Away: Detoxification Services in Rural Areas
Author(s): Jennifer D. Lenardson, Melanie M. Race, John A. Gale
Date: 12/2009
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Prescription Opiate Misuse among Rural Stimulant Users in a Multistate Community-based Study
Reports on an analysis investigating the reasons associated with prescription opiate misuse among users from rural counties in Arkansas, Kentucky, and Ohio.
Author(s): Jennifer R. Havens, William W. Stoops, Carl G. Leukefeld, et al.
Citation: American Journal of Drug and Alcohol Abuse, 35(1), 18-23
Date: 2009
Type: Document
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Maternal Opioid Misuse (MOM) Model
Overview of a CMS initiative focused on the care of pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD) through state-driven transformation of the delivery system. Supports coordination of clinical care and integration of other services critical for health, well-being, and recovery.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Drug Overdose Deaths in the United States
Interactive map highlights drug overdose deaths in the United States by county. Features demographic information such as race/ethnicity, educational attainment, and disability status, as well as economic factors such as poverty rate, unemployment rate, and accident-prone employment, among others.
Type: Map/Mapping System
Sponsoring organizations: NORC at the University of Chicago, U.S. Department of Agriculture
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Opioid Mapping Initiative
Presents a mapping system that allows users to locate distributors of naloxone and prescription drug drop off locations. Aims to provide open data sets to local health departments, law enforcement agencies, and communities.
Additional links: National Drug Drop-off Locations Map, National Naloxone Map
Type: Map/Mapping System
Sponsoring organization: New America
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Opioid Epidemic Practical Toolkit: Helping Faith and Community Leaders Bring Hope and Healing to Our Communities
Provides practical steps that community and faith-based organizations can take to help address the opioid crisis. Includes information on awareness, prevention, and recovery support. Also covers community capacity building, collaboration, and federal resources.
Type: Website
Sponsoring organization: HHS Center for Faith-based and Neighborhood Partnerships (The Partnership Center)
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Pain and Opioid Use Disorder
Discusses the use of prescription opioids and outlines proper pain management for Indian Health Services (IHS) patients and providers. Features resources for providers and American Indian and Alaska Native communities in the areas of medication assisted treatment (MAT), prevention, and supplemental opioid funding for IHS facilities.
Type: Website
Sponsoring organization: Indian Health Service
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Opioid Dependence Management
Features information on the prevention and treatment of opioid dependence from the Indian Health Service. Discusses several factors specific to American Indians and Alaska Natives, such as Tribal Healing and Wellness Courts, among others.
Type: Document
Sponsoring organization: Indian Health Service
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Rural Opioid Educational Resources
A comprehensive list of National Organization of State Offices of Rural Health resources addressing the opioid crisis. Includes reports, webinar recordings, promising practices, training materials, and medication-assisted treatment (MAT) resources. Also offers customizable posters, flyers, brochures, and more.
Type: Website
Sponsoring organization: National Organization of State Offices of Rural Health
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Opioid Misuse Resource Map
Presents a map of the U.S. which details the opioid resources available by state. Features programs providing emergency services, treatment, and prevention.
Type: Website
Sponsoring organization: U.S. Department of Agriculture
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Rural Opioid Overdose Reversal Program
Presents a report on the lessons learned from grant recipients of the Rural Opioid Overdose Reversal (ROOR) Program grant. Features related resources, such as a webinar, training, data, and outreach materials.
Type: Website
Sponsoring organization: National Organization of State Offices of Rural Health
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HRSA: Opioid Crisis
Features information, resources, and opportunities addressing the opioid crisis. Details HRSA's efforts to help combat opioid abuse, including the sharing of best practices, increasing education and training, and expanding access through health centers and the use of telehealth, among other interventions.
Type: Website
Sponsoring organization: Health Resources and Services Administration
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Drug Overdose Deaths in Appalachia
Interactive map highlights drug overdose deaths in Appalachia by county. Features demographic information such as race/ethnicity, educational attainment, and disability status, as well as economic factors such as poverty rate, unemployment rate, and accident-prone employment, among others.
Type: Map/Mapping System
Sponsoring organizations: Appalachian Regional Commission, NORC at the University of Chicago
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Opioid Misuse in Rural America
Features information and resources pertaining to opioid misuse in rural communities. Includes USDA programs and examples of best practices.
Type: Website
Sponsoring organization: U.S. Department of Agriculture
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Farm Town Strong
Website details information and resources to support agricultural communities affected by the opioid epidemic. Presents crisis hotlines, links to treatment centers, prevention resources, and prescription drug disposal for rural agricultural communities.
Type: Website
Sponsoring organizations: American Farm Bureau Federation, National Farmers Union
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Trends in Opioid-Related Hospitalizations
Presents state-by-state data on opioid-related hospitalizations throughout the U.S. Details the change in hospitalization rate in each state from 2009-2014. Identifies the geographic areas in each state with the highest rates. Includes county-level data on opioid-related hospitalization rates in 32 states
Type: Website
Sponsoring organization: Agency for Healthcare Research and Quality
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Opioid Overdose: U.S. Prescribing Rate Maps
A collection of maps showing retail opioid prescription rates from 2006-2016 at the county and state level.
Type: Map/Mapping System
Sponsoring organization: Centers for Disease Control and Prevention
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HCUP Fast Stats - Opioid-Related Hospital Use
Provides access to data on opioid-related inpatient stays and emergency department visits for rural and urban areas over a range of years. Data is available at the national and state level.
Type: Website
Sponsoring organization: Agency for Healthcare Research and Quality
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Rural Tobacco Control and Prevention Toolkit
Resources and best practices to help rural communities develop tobacco control and prevention programs. Identifies program models and examples, and discusses implementation, evaluation, sustainability, and dissemination of program results.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Rural Prevention and Treatment of Substance Use Disorders Toolkit
Resources and best practices to help rural communities develop substance use disorder prevention and treatment programs. Identifies program models and examples, and discusses implementation, evaluation, sustainability, and dissemination of program results.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Drug Poisoning Mortality: United States, 1999-2016
Collection of data visualizations showing drug poisoning deaths at the national, state, and county levels.
Type: Website
Sponsoring organization: National Center for Health Statistics
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Health Equity Change Makers: Elk's Story
A video describing the Northern Arapaho Horse Culture class, a suicide and substance abuse prevention program that uses Native American culture and horsemanship to encourage youth to work through challenges and build resiliency. The program is part of the Northern Arapaho Suicide Prevention Program on the Wind River Reservation in Wyoming funded by the Indian Health Service. Length: 2:25
Type: Video/Multimedia
Sponsoring organization: U.S. Department of Health and Human Services Office of Minority Health
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Medicare Part D Opioid Prescribing Mapping Tool
Interactive mapping tool identifies opioid prescription rates at the state, county, and zip code level for de-identified Medicare Part D claims from 2013-2016.
Type: Map/Mapping System
Sponsoring organization: Centers for Medicare and Medicaid Services
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Child Health USA 2014
A collection of data on the physical, mental, and emotional health of the Nation’s children. Addresses poverty, education, child care, and health service utilization and financing. Includes selected data by rural and urban residence.
Type: Website
Sponsoring organization: Maternal and Child Health Bureau
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SAMHSA’s Tribal Training and Technical Assistance Center
Provides culturally relevant and evidence-based training and technical assistance on mental health and substance use disorders, and suicide prevention to federally recognized tribes, other American Indian/Alaska Native (AI/AN) communities, SAMHSA tribal grantees and other organizations that serve Indian Country.
Type: Website
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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National Survey on Drug Use and Health (NSDUH)
Provides access to results for this annual survey focused on substance abuse and mental health issues. Includes information on prevalence and services. Rural-specific data is available in detailed tables that list "geographic characteristics." Data is also made available by state and for regions within states.
Type: Website
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Mental Health First Aid
Details a public education program to assist the public in identifying, understanding, and responding to signs of mental illnesses and substance use disorders. Provides a "Find a Course" link to access mental health first aid instructors who will train residents in rural areas.
Type: Website
Sponsoring organization: National Council for Behavioral Health
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Keep it Sacred: National Native Network
Provides a forum for tribes and tribal organizations to obtain and disseminate evidence-based and culturally appropriate information in order to identify and eliminate health disparities related to commercial tobacco abuse.
Type: Website
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Uniform Data System (UDS) Mapper
Illustrates the geographic reach, penetration, and growth of the Section 330-funded Health Center Program (HCP) and its relationship to other federally-linked health resources. Provides data on health centers and their service areas, as well as population indicators. Includes access to Mapping Areas of Priority for Medication-Assisted Treatment (MAP for MAT), with data identifying areas of high need and services available related to the opioid epidemic. Free, but registration is required.
Type: Map/Mapping System
Sponsoring organizations: American Academy of Family Physicians, Robert Graham Center
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SAMHSA-HRSA Center for Integrated Health Solutions (CIHS)
Provides clinical practice tools and resources for integrating mental health, substance abuse, and primary care to better address the needs of individuals with behavioral health conditions. Includes resources to address integrated care in rural settings.
Type: Website
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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2-1-1 Information and Referral Service
Provides a free, confidential information and referral service for help with employment, food, housing, healthcare, addiction prevention programs, and counseling.
Type: Hotline
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PubMed Search: Substance Abuse in Rural Areas
Searches PubMed's collection of journal article citations on substance-related disorders and treatment in rural areas.
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
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Behavioral Health Treatment Services Locator
Locate treatment facilities addressing substance abuse, addiction, and mental health problems by zip code or city and state.
Type: Directory
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Last Updated: 11/16/2018