Substance Use and Misuse in Rural Areas – Resources
Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.
Opioid and Substance Use Strategies for Critical Access Hospitals
Recording of a February 26, 2021, webinar discussing the role of Critical Access Hospitals (CAHs) in addressing opioid use disorders (OUDs) and substance use disorders (SUDs) in local systems of care. Provides a framework to support CAH opioid and substance use initiatives. Highlights examples of OUD and SUD activities taken by CAHs and offers lessons learned.
Additional links: Presentation Slides
Date: 02/2021
Sponsoring organization: Flex Monitoring Team
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Recording of a February 26, 2021, webinar discussing the role of Critical Access Hospitals (CAHs) in addressing opioid use disorders (OUDs) and substance use disorders (SUDs) in local systems of care. Provides a framework to support CAH opioid and substance use initiatives. Highlights examples of OUD and SUD activities taken by CAHs and offers lessons learned.
Additional links: Presentation Slides
Date: 02/2021
Sponsoring organization: Flex Monitoring Team
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Treatment for Opioid Use Disorder May Reduce Substantiated Cases of Child Abuse and Neglect
Highlights a study on the correlation between opioid use disorder (OUD) and child maltreatment. Specifically, the effect buprenorphine treatment for OUD has on rates of maltreatment. Discusses challenges and considerations for rural areas.
Author(s): Robin Ghertner, Mir M. Ali
Date: 01/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Highlights a study on the correlation between opioid use disorder (OUD) and child maltreatment. Specifically, the effect buprenorphine treatment for OUD has on rates of maltreatment. Discusses challenges and considerations for rural areas.
Author(s): Robin Ghertner, Mir M. Ali
Date: 01/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Using Technology-Based Therapeutic Tools in Behavioral Health Services
Report discusses the use of telehealth to provide behavioral health services. Explores the benefits of telehealth as a bridge to accessing behavioral healthcare and presents implementation guidance, such as state and licensing regulations and reimbursement considerations.
Date: 2021
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report discusses the use of telehealth to provide behavioral health services. Explores the benefits of telehealth as a bridge to accessing behavioral healthcare and presents implementation guidance, such as state and licensing regulations and reimbursement considerations.
Date: 2021
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Treating a Public Health Crisis for Rural Moms – A Comparative Analysis of Four Rural States Addressing Maternal Opioid Misuse with Medicaid Innovation Models
Discusses how 4 states - Colorado, Indiana, Maine, and Missouri - have used the Maternal Opioid Misuse (MOM) model to address maternal opioid use disorders among rural Medicaid beneficiaries. Compares different approaches taken by each state, including benefit eligibility, health insurance payers and health systems partnerships, and telehealth utilization.
Author(s): Jason Semprini
Citation: Online Journal of Rural Research & Policy, 16(2)
Date: 2021
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Discusses how 4 states - Colorado, Indiana, Maine, and Missouri - have used the Maternal Opioid Misuse (MOM) model to address maternal opioid use disorders among rural Medicaid beneficiaries. Compares different approaches taken by each state, including benefit eligibility, health insurance payers and health systems partnerships, and telehealth utilization.
Author(s): Jason Semprini
Citation: Online Journal of Rural Research & Policy, 16(2)
Date: 2021
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Community of Practice: Preventing and Reducing the Stigma of Substance Use Disorders in Rural Communities - Implementation and Lessons Learned
Report discusses strategies for reducing stigma around substance use disorders (SUDs) and SUD treatment in rural communities. Details the implementation of Communities of Practice sessions with participants and breaks down participant data and session timeline.
Date: 2021
Sponsoring organizations: Great Lakes PTTC, Prevention Technology Transfer Center Network
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Report discusses strategies for reducing stigma around substance use disorders (SUDs) and SUD treatment in rural communities. Details the implementation of Communities of Practice sessions with participants and breaks down participant data and session timeline.
Date: 2021
Sponsoring organizations: Great Lakes PTTC, Prevention Technology Transfer Center Network
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Substance Use Disorder: Reliable Data Needed for Substance Abuse Prevention and Treatment Block Grant Program
Reviews what is known about the number of substance use disorder (SUD) treatment facilities and services, overall treatment capacity, and barriers to expanding capacity. Describes the Substance Abuse Prevention and Treatment Block Grant (SABG), State Targeted Response to the Opioid Crisis (STR) and State Opioid Response (SOR) programs, and examines how seven states utilized these programs. Evaluates the data used to assess the effectiveness of these programs, and offers recommendations to improve the reliability of data collected on individuals served by the SABG program.
Additional links: Full Report
Date: 12/2020
Sponsoring organization: Government Accountability Office
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Reviews what is known about the number of substance use disorder (SUD) treatment facilities and services, overall treatment capacity, and barriers to expanding capacity. Describes the Substance Abuse Prevention and Treatment Block Grant (SABG), State Targeted Response to the Opioid Crisis (STR) and State Opioid Response (SOR) programs, and examines how seven states utilized these programs. Evaluates the data used to assess the effectiveness of these programs, and offers recommendations to improve the reliability of data collected on individuals served by the SABG program.
Additional links: Full Report
Date: 12/2020
Sponsoring organization: Government Accountability Office
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Promoting Access to Care for Women of Reproductive Age with Mental Health and Substance Use Disorders in Rural Communities
Report highlights the barriers to mental healthcare and substance use disorder treatment for rural women of reproductive age. Discusses continuity of care, access to medication-assisted treatment (MAT), and workforce shortages among other barriers. Presents recommendations, such as telehealth and care coordination, and provides program examples from different states.
Date: 11/2020
Sponsoring organizations: Association of Maternal and Child Health Programs, Georgia Health Policy Center
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Report highlights the barriers to mental healthcare and substance use disorder treatment for rural women of reproductive age. Discusses continuity of care, access to medication-assisted treatment (MAT), and workforce shortages among other barriers. Presents recommendations, such as telehealth and care coordination, and provides program examples from different states.
Date: 11/2020
Sponsoring organizations: Association of Maternal and Child Health Programs, Georgia Health Policy Center
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Rates of Alcohol-Induced Deaths Among Adults Aged 25 and Over in Urban and Rural Areas: United States, 2000–2018
Examines trends in alcohol-induced deaths among adults aged 25 and over. Includes data by sex for urban and rural residents from 2000 through 2018, with information for metropolitan, micropolitan, and non-core areas.
Author(s): Merianne Rose Spencer, Sally C. Curtin, Holly Hedegaard
Date: 10/2020
Sponsoring organization: National Center for Health Statistics
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Examines trends in alcohol-induced deaths among adults aged 25 and over. Includes data by sex for urban and rural residents from 2000 through 2018, with information for metropolitan, micropolitan, and non-core areas.
Author(s): Merianne Rose Spencer, Sally C. Curtin, Holly Hedegaard
Date: 10/2020
Sponsoring organization: National Center for Health Statistics
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Building Capacity for Medication Assisted Treatment in Rural Primary Care Practices: The IT MATTTRs Practice Team Training
Evaluates IT MATTTRs, a training intervention for primary care practice (PCP) teams regarding medication-assisted treatment (MAT) for opioid use disorder. Compares in-person training to web-based training through Project ECHO. Discusses the implementation of the training program, participant satisfaction, and impact on participants' perceived ability to deliver MAT.
Author(s): Linda Zittleman, Kristen Curcija, Christin Sutter, et al.
Citation: Journal of Primary Care and Community Health, 11
Date: 09/2020
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Evaluates IT MATTTRs, a training intervention for primary care practice (PCP) teams regarding medication-assisted treatment (MAT) for opioid use disorder. Compares in-person training to web-based training through Project ECHO. Discusses the implementation of the training program, participant satisfaction, and impact on participants' perceived ability to deliver MAT.
Author(s): Linda Zittleman, Kristen Curcija, Christin Sutter, et al.
Citation: Journal of Primary Care and Community Health, 11
Date: 09/2020
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Crisis Services: Meeting Needs, Saving Lives
Presents the National Guidelines for Behavioral Health Crisis Care Best Practices Toolkit and a number of companion papers on crisis care. Toolkit highlights best practices for crisis care and the papers discuss a number of related topics, including homelessness, substance use, opioid-related deaths, and rural and frontier areas, among other issues.
Date: 08/2020
Sponsoring organization: National Association of State Mental Health Program Directors
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Presents the National Guidelines for Behavioral Health Crisis Care Best Practices Toolkit and a number of companion papers on crisis care. Toolkit highlights best practices for crisis care and the papers discuss a number of related topics, including homelessness, substance use, opioid-related deaths, and rural and frontier areas, among other issues.
Date: 08/2020
Sponsoring organization: National Association of State Mental Health Program Directors
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Additional resources are available related to this guide. See the full list of resources by topic for: