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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.

Opioid-Related Outcomes Among Individuals with Co-Occurring Behavioral Health Conditions
Provides an overview of a quality measurement framework to improve the prevention and monitoring of opioid-related overdoses and mortality among individuals with co-occurring behavioral health conditions. Identifies existing measures, measure concepts, and recommendations to serve as a starting point for quality measurement. Highlights three essential domains for measurement: equitable access, clinical interventions, and integrated and comprehensive care for concurrent behavioral health conditions.
Date: 09/2022
Type: Document
Sponsoring organization: National Quality Forum
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Availability of Substance Use Disorder Treatment in Minoritized Racial/Ethnic Group Areas
Explores the availability of substance use disorder treatment facilities and providers nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Provides data on the straight-line distance to the nearest opioid treatment facility that offers methadone, nearest substance use disorder treatment facility that does not offer methadone, and closest buprenorphine provider by rurality in minoritized and non-minoritized ZCTA.
Author(s): Sophia N. D. Negaro, Gabriel A. Benavidez, Christina M. Andrews, et al.
Date: 09/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Patient-Level and County-Level Trends in Nonfatal Opioid-Involved Overdose Emergency Medical Services Encounters — 491 Counties, United States, January 2018–March 2022
Reports on trends in rates of EMS encounters for nonfatal opioid-involved overdoses during January 2018–March 2022, based on data from 491 counties in 21 states. Includes trend data by quarter for rural and urban counties.
Author(s): Shannon M. Casillas, Cassandra M. Pickens, Erin K. Stokes, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(34), 1073-1080
Date: 08/2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Adaptations and Innovations for Delivering Mental Health and Substance Use Disorder Treatment Services During the COVID-19 Pandemic
Examines disruptions and adaptations in delivering mental health and substance use treatment services during the COVID-19 pandemic, including benefits and challenges of telehealth adoption. Discusses changes to substance use disorder (SUD) and medication for opioid use disorder (MOUD) treatment during the pandemic and remaining challenges related to access to remote services.
Date: 08/2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Association of Methamphetamine and Opioid Use With Nonfatal Overdose in Rural Communities
Study examining the incidence of nonfatal overdoses for people using methamphetamine and opioids alone and together, drawing data from National Rural Opioid Initiative surveys of people who use drugs in rural areas of 10 states. Presents findings related to prevalence of methamphetamine and opioid use, rates of use by race and ethnicity, and implications of the findings for harm reduction programs and treatment programs.
Author(s): P. Todd Korthuis, Ryan R. Cook, Canyon A. Foot, et al.
Citation: JAMA Network Open, 5(8), e2226544
Date: 08/2022
Type: Document
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Trends in Rural and Urban Cigarette Smoking Quit Ratios in the US From 2010 to 2020
Results of a study estimating trends in smoking quit ratios for adults in rural and urban areas from 2010-2020, using data from the National Survey on Drug Use and Health. Features statistics with breakdowns by rural and urban areas, including quit ratios by age category.
Author(s): Maria A. Parker, Andrea H. Weinberger, Emma M. Eggers, Erik S. Parker, Andrea C. Villanti
Citation: JAMA Network Open, 5(8)
Date: 08/2022
Type: Document
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Geographic Trends in Opioid Overdoses in the US From 1999 to 2020
Results of a study examining trends in opioid-involved overdose death (OOD) rates in urban and rural counties. Explores OODs due to overprescription of opioids, use of heroin and illicit synthetic opioids such as fentanyl, and stimulants in combination with synthetic opioids. Features statistics with breakdowns by 6 levels of population density.
Author(s): Lori Ann Post, Alexander Lundberg, Charles B. Moss, et al.
Citation: JAMA Network Open, 5(7)
Date: 07/2022
Type: Document
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Barriers to Medications for Opioid Use Disorder in the Court System: Provider Availability, Provider "Trustworthiness," and Cost
Examines perceptions of medications for opioid use disorder (MOUD) availability, provider trustworthiness, and MOUD affordability based on a survey of 151 court team members in Florida. Discusses rates of court referral to MOUD treatment in cases involving opioid use disorder (OUD) and notes rural-specific barriers to MOUD referral.
Author(s): Fatema Z. Ahmed, Barbara Andraka-Christou, M.H. Clark, et al.
Citation: Health & Justice, 10, 24
Date: 07/2022
Type: Document
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Identifying Unique Barriers to Implementing Rural Emergency Department-Based Peer Services for Opioid Use Disorder Through Qualitative Comparison with Urban Sites
Study examining the implementation of emergency department-based interventions for opioid use disorder (OUD) in rural and urban areas based on interviews with programs in Indiana's Recovery Coach and Peer Support Initiative (RCPSI). Describes barriers to implementation for rural programs, including issues related to intervention characteristics, logistical challenges, and staffing issues.
Author(s): Dennis P. Watson, Monte D. Staton, Nicole Gastala
Citation: Addiction Science & Clinical Practice, 17, 41
Date: 07/2022
Type: Document
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Fighting Fentanyl: The Federal Response to a Growing Crisis
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the government's response to the fentanyl crisis. Includes testimonies from the Substance Abuse and Mental Health Administration (SAMHSA), National Center for Injury Prevention and Control, Health Resources and Services Administration (HRSA), and the Office of National Drug Control Policy regarding current efforts to address the expanding use of fentanyl across the U.S.
Additional links: Carole Johnson Testimony, Christopher Jones Testimony, Kemp Chester Testimony, Miriam E. Delphin-Rittmon Testimony
Date: 07/2022
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Last Updated: 9/28/2022