Substance Use and Misuse in Rural Areas – Resources
Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.
Strategies for the Delivery of Behavioral Health Crisis Services in Rural and Frontier Areas of the U.S.
Report highlights the challenges of providing behavioral health crisis services to rural and frontier communities. Details the barriers to crisis service delivery such as lack of transportation, travel distance, and broadband access, among others. Includes a discussion on the effect of COVID-19 pandemic rural crisis service delivery.
Author(s): Kristin A. Neylon
Date: 08/2020
Sponsoring organization: National Association of State Mental Health Program Directors
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Report highlights the challenges of providing behavioral health crisis services to rural and frontier communities. Details the barriers to crisis service delivery such as lack of transportation, travel distance, and broadband access, among others. Includes a discussion on the effect of COVID-19 pandemic rural crisis service delivery.
Author(s): Kristin A. Neylon
Date: 08/2020
Sponsoring organization: National Association of State Mental Health Program Directors
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Alcohol Use Disorder: Addressing Stigma and Treatment Access in Rural America
Examines alcohol use and misuse in rural America. Features the work of healthcare providers in Pennsylvania, Louisiana, Texas, and New Mexico. Discusses stigma, treatment access, and recovery. Addresses the impact of COVID-19 on treatment access, including the use of telehealth.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2020
Sponsoring organization: Rural Health Information Hub
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Examines alcohol use and misuse in rural America. Features the work of healthcare providers in Pennsylvania, Louisiana, Texas, and New Mexico. Discusses stigma, treatment access, and recovery. Addresses the impact of COVID-19 on treatment access, including the use of telehealth.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2020
Sponsoring organization: Rural Health Information Hub
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Strategies for Rural Communities for Addressing Substance Misuse among Families Involved with the Child Welfare System
Describes nine programs across seven states that have addressed challenges to serving child welfare-involved parents with substance use issues through mentoring, case management, providing access to treatment and affordable housing, and other support services. Discusses considerations for expanding and replicating these programs in rural communities.
Additional links: Research Summary
Author(s): Jung Kim, Elizabeth Clary, Christina Ribar, Sarah Palmer, Elizabeth Weigensberg
Date: 07/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Describes nine programs across seven states that have addressed challenges to serving child welfare-involved parents with substance use issues through mentoring, case management, providing access to treatment and affordable housing, and other support services. Discusses considerations for expanding and replicating these programs in rural communities.
Additional links: Research Summary
Author(s): Jung Kim, Elizabeth Clary, Christina Ribar, Sarah Palmer, Elizabeth Weigensberg
Date: 07/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Engaging Critical Access Hospitals in Addressing Rural Substance Use
Provides a framework for Critical Access Hospitals (CAHs) to identify and address substance use needs in their communities. Includes examples of rural CAH substance use prevention, treatment, and recovery strategies.
Author(s): John Gale, Sara Kahn-Troster, Zachariah Croll, Nathan First
Date: 06/2020
Sponsoring organization: Flex Monitoring Team
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Provides a framework for Critical Access Hospitals (CAHs) to identify and address substance use needs in their communities. Includes examples of rural CAH substance use prevention, treatment, and recovery strategies.
Author(s): John Gale, Sara Kahn-Troster, Zachariah Croll, Nathan First
Date: 06/2020
Sponsoring organization: Flex Monitoring Team
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Drug Education and Cessation Programs Help Teens Avoid or Quit Vaping
Highlights vaping education programs reaching rural schools in California and Tennessee, as well as a multi-state program helping teens in 18 states quit vaping.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 06/2020
Sponsoring organization: Rural Health Information Hub
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Highlights vaping education programs reaching rural schools in California and Tennessee, as well as a multi-state program helping teens in 18 states quit vaping.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 06/2020
Sponsoring organization: Rural Health Information Hub
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Depression, Alcohol and Farm Stress: Addressing Co-Occurring Disorders in Rural America
Offers resources to help rural healthcare providers screen farmers, farmworkers, and farm families for alcohol use disorder and depression. Discusses farm stress and covers 3 categories of barriers to rural substance use and mental health services: accessibility, availability, and acceptability. Includes a hypothetical case scenario to illustrate the obstacles and challenges rural farm families experience when attempting to receive care for co-occurring mental health and substance use disorders.
Author(s): Maridee Shogren, Robin Landwehr, David Terry, Abby Roach-Moore, Andrew McLean
Date: 04/2020
Sponsoring organizations: Addiction Technology Transfer Center Network, Mental Health Technology Transfer Center Network, Substance Abuse and Mental Health Services Administration
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Offers resources to help rural healthcare providers screen farmers, farmworkers, and farm families for alcohol use disorder and depression. Discusses farm stress and covers 3 categories of barriers to rural substance use and mental health services: accessibility, availability, and acceptability. Includes a hypothetical case scenario to illustrate the obstacles and challenges rural farm families experience when attempting to receive care for co-occurring mental health and substance use disorders.
Author(s): Maridee Shogren, Robin Landwehr, David Terry, Abby Roach-Moore, Andrew McLean
Date: 04/2020
Sponsoring organizations: Addiction Technology Transfer Center Network, Mental Health Technology Transfer Center Network, Substance Abuse and Mental Health Services Administration
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Improving Access to Evidence-Based Medical Treatment for Opioid Use Disorder: Strategies to Address Key Barriers Within the Treatment System
Presents a study on the barriers to evidence-based treatment for opioid use disorder (OUD). Identifies nine common barriers to evidence-based care for people with OUD, including stigma, workforce training, and financial barriers, among others. Includes rural references throughout.
Author(s): Bertha K. Madras, N. Jia Ahmad, Jenny Wen, et al.
Citation: NAM Perspectives
Date: 04/2020
Sponsoring organization: National Academy of Medicine
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Presents a study on the barriers to evidence-based treatment for opioid use disorder (OUD). Identifies nine common barriers to evidence-based care for people with OUD, including stigma, workforce training, and financial barriers, among others. Includes rural references throughout.
Author(s): Bertha K. Madras, N. Jia Ahmad, Jenny Wen, et al.
Citation: NAM Perspectives
Date: 04/2020
Sponsoring organization: National Academy of Medicine
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Rural Health Care and Medicaid Telehealth Flexibilities, and Guidance Regarding Section 1009 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (Pub. L. 115-271), entitled Medicaid Substance Use Disorder Treatment via Telehealth
Discusses the benefits of utilizing telehealth services to expand access to Medicaid services in rural areas and the flexibility states have in covering these services. Provides guidance on options states have to receive federal reimbursement for substance use disorder treatments provided via telehealth services.
Date: 04/2020
Sponsoring organization: Centers for Medicare & Medicaid Services
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Discusses the benefits of utilizing telehealth services to expand access to Medicaid services in rural areas and the flexibility states have in covering these services. Provides guidance on options states have to receive federal reimbursement for substance use disorder treatments provided via telehealth services.
Date: 04/2020
Sponsoring organization: Centers for Medicare & Medicaid Services
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Low Burden Strategies Are Needed to Reduce Smoking in Rural Healthcare Settings: A Lesson from Cancer Clinics
Details a study on the effectiveness of an electronic health record-based smoking cessation module in providing cessation services to rural cancer patients. Presents data by patient characteristics, services accessed, and rural versus urban location, among other measures.
Author(s): Alex T. Ramsey, Timothy B. Baker, Giang Pham, et al.
Citation: International Journal of Environmental Research and Public Health, 17(5), 1728
Date: 03/2020
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Details a study on the effectiveness of an electronic health record-based smoking cessation module in providing cessation services to rural cancer patients. Presents data by patient characteristics, services accessed, and rural versus urban location, among other measures.
Author(s): Alex T. Ramsey, Timothy B. Baker, Giang Pham, et al.
Citation: International Journal of Environmental Research and Public Health, 17(5), 1728
Date: 03/2020
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Touchpoints for Addressing Substance Use Issues in Home Visiting: Phase 1 Final Report
Report details information and guidance for addressing substance use issues encountered during home visiting. Discusses substance use issues and the way home visiting can address those issues while supporting families. Features a number of questions and answers and includes discussion regarding home visiting in rural areas.
Additional links: Executive Summary
Date: 03/2020
Sponsoring organizations: Administration for Children and Families, Mathematica, Office of Planning, Research, and Evaluation
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Report details information and guidance for addressing substance use issues encountered during home visiting. Discusses substance use issues and the way home visiting can address those issues while supporting families. Features a number of questions and answers and includes discussion regarding home visiting in rural areas.
Additional links: Executive Summary
Date: 03/2020
Sponsoring organizations: Administration for Children and Families, Mathematica, Office of Planning, Research, and Evaluation
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