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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.

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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Responding to a Surge in Overdose Deaths: Perspectives From US Syringe Services Programs
Highlights a study on the perspectives of syringe service program (SSP) leadership and staff regarding overdose deaths in the US. Bases conclusions on interviews done from February to March of 2021 and breaks down participant data by geographic region, distribution approach, and rurality, among others factors.
Author(s): Madeline C. Frost, Elizabeth J. Austin, Maria A. Corcorran, et al.
Citation: Harm Reduction Journal, 19, 79
Date: 07/2022
Type: Document
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Urban–Rural Differences in Drug Overdose Death Rates, 2020
Examines 2020 drug overdose deaths by sex, race and ethnicity, and type of drug, with data broken down by rural versus urban county status. Includes a U.S. map that depicts if overall urban or rural counties in a state have a higher rate of age-adjusted overdose death.
Additional links: STATCAST Podcast Episode
Author(s): Merianne Rose Spencer, Matthew F. Garnett, Arialdi M. Miniño
Date: 07/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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UVM CORA Community Rounds: Strategies for Distributing Naloxone to Rural Communities
Webinar recording discusses rural opioid overdoses and methods for distributing naloxone to prevent overdoses. Explores the use of data, technology, and working with emergency services partners to deliver naloxone to people at risk of overdosing, among other factors.
Additional links: Webinar Slides
Author(s): Geoff Capraro, Brooke A. Lawrence
Date: 07/2022
Type: Video/Multimedia
Sponsoring organization: University of Vermont Center on Rural Addiction
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Impact of Mandatory COVID-19 Shelter-in-Place Order on Controlled Substance Use Among Rural Versus Urban Communities in the United States
Features a study on the effect the shelter-in-place orders during the COVID-19 pandemic had on uses of controlled substances, such as methamphetamine, opioids, and cocaine, among others. Draws data from calls made to poison control centers from October of 2019 to July of 2020 and compares rates of calls by rural versus urban locations.
Author(s): Daniel Maeng, Yue Li, Michele Lawrence, et al.
Citation: Journal of Rural Health
Date: 06/2022
Type: Document
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Behavioral Health and Primary Care Integration in Rural Health Facilities: Policy Brief and Recommendations to the Secretary
Provides an overview of the prevalence of mental illness and substance use disorders in rural areas. Discusses the role of rural primary care providers in treating these conditions. Outlines federal programs and resources to support behavioral health and primary care integration. Offers policy recommendations related to access to care; workforce recruitment and retention; telehealth, technology, and broadband; and reimbursement and sustainable revenue.
Date: 06/2022
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Medicaid & State Telehealth Policy – Medicaid Telehealth Policy & Substance Use Disorder
Webinar covering state and federal Medicaid telehealth policy for the treatment of substance use disorder (SUD). Offers an overview of telehealth, its expansion during the COVID-19 pandemic, and its application in SUD treatment with examples from Arkansas and Philadelphia. Also covers research on disparities in drug-related mortality and access to treatment during the pandemic. Captions are available by clicking "CC" at the bottom of the video pane.
Additional links: Presentation slide deck
Date: 06/2022
Type: Video/Multimedia
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Last Updated: 9/28/2022