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Substance Use and Misuse in Rural Areas – Resources

Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.

Results from the 2020 National Survey on Drug Use and Health: Detailed Tables
Presents data on use of illicit drugs, alcohol, and tobacco, trends in substance use disorder and mental health, and access to treatment for youth and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status. Includes information on substance use and mental health during the COVID-19 pandemic.
Date: 10/2021
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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2021 Report to Congress on the State Opioid Response Grants (SOR)
Report details the outcomes of state opioid response (SOR) grants to Congress. Highlights demographic breakdown of people served by SOR programs and discusses key accomplishments by state/territory. Includes rural references throughout.
Date: 10/2021
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Trends in and Characteristics of Buprenorphine Misuse Among Adults in the US
Results of a study to identify prescription opioids that are most frequently misused, examine differences in motivations for misuse between buprenorphine and nonbuprenorphine prescription opioids, and explore trends in and factors associated with buprenorphine misuse among people with or without opioid use disorder. Features statistics on sociodemographic characteristics, health conditions, and behavioral health status among adults with past-year buprenorphine use, with breakdowns by large metropolitan, small metropolitan, and nonmetropolitan areas.
Author(s): Beth Han, Christopher M. Jones, Emily B. Einstein, Wilson M. Compton
Citation: JAMA Network Open, 4(10)
Date: 10/2021
Type: Document
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Transforming State Behavioral Health Systems: Findings from States on the Impact of CCBHC Implementation
Shares information from surveys and interviews with state Certified Community Behavioral Health Clinic (CCBHC) program directors from the eight original demonstration states, including Minnesota, Missouri, Nevada, New Jersey, New York, Oklahoma, Oregon, and Pennsylvania. Reports the CCBHC program helped states address mental health and substance use issues in their communities by lowering costs, improving outcomes, building health care system capacity for mental health and substance use, and increasing the infrastructure to meet the rising need of care. Includes specific examples of how the CCBHC program improved access to urgent recovery centers, crisis centers, and telehealth services in rural communities.
Author(s): Rachael Matulis, Dorn Schuffman, Rebecca Farley David, Samantha Holcombe
Date: 10/2021
Type: Document
Sponsoring organization: National Council for Mental Wellbeing
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PrEP Care Continuum Engagement Among Persons Who Inject Drugs: Rural and Urban Differences in Stigma and Social Infrastructure
Study examining stigma related to drug use and human immunodeficiency virus (HIV), as well as awareness of Pre-exposure prophylaxis (PrEP) treatment in New York City and rural southern Illinois. Highlights barriers and facilitators to willingness to take PrEP based on interviews with 57 people who inject drugs (PWID) who participate in syringe service programs, comparing rural and urban responses.
Author(s): Suzan M. Walters, David Frank, Brent Van Ham, et al.
Citation: AIDS and Behavior
Date: 10/2021
Type: Document
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SAMHSA: Coronavirus (COVID-19)
Guidance and resources to help providers respond to COVID-19 while providing care and treatment of mental and substance use disorders. Includes guidance specific to opioid treatment programs.
Date: 10/2021
Type: Website
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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COVID-19 and Opioid Use Disorder - Expanding Treatment Access in Rural Settings
Details a study on substance use disorder treatment access in rural areas during the COVID-19 pandemic. Highlights barriers to treatment in rural areas, such as unemployment, social isolation, and psychological stressors, among others. Discusses methods for overcoming these barriers, such as the use of telehealth.
Author(s): Mercy Ngosa Mumba, Jessica Jaiswal, Natalia Langner-Smith, et al.
Citation: Nursing, 51(9), 44-47
Date: 09/2021
Type: Document
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Mental Health System Development in Rural and Remote Areas during COVID-19
Report highlights the barriers faced by rural, remote, and tribal communities to accessing mental healthcare during the COVID-19 pandemic. Details rates of mental health treatment over the past year and compares rural and urban communities. Discusses factors affecting access in rural areas such as workforce shortages, lack of telehealth services, and lack of culturally competent care for American Indian and Alaska Native populations, among others.
Date: 09/2021
Type: Document
Sponsoring organization: National Association of State Mental Health Program Directors
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Ready to Respond: Mental Health Beyond Crisis and COVID-19
Report highlights strategies for addressing the need for mental health services in the wake of the COVID-19 pandemic. Details seven recommendations for state mental health programs post-pandemic and discusses workforce challenges and how telehealth can be used to expand access to care to rural and underserved areas.
Date: 09/2021
Type: Document
Sponsoring organization: National Association of State Mental Health Program Directors
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Barriers for Implementing the Hub and Spoke Model to Expand Medication for Opioid Use Disorder: A Case Study of Montana
Highlights a study of the barriers to the implementation of hub and spoke programs to provide treatment for opioid use disorder in rural Montana. Features data based on interviews with 65 programs that provide medication for opioid use disorder in Montana and discusses the barriers to their efforts.
Author(s): Brandn Green, Danielle Christine Rhubart, Matthew R Filteau
Citation: Substance Abuse: Research and Treatment, 15
Date: 08/2021
Type: Document
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Last Updated: 10/25/2021