Substance Use and Misuse in Rural Areas – Resources
Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.
Medications for Opioid Use Disorder: The Treatment Improvement Protocol (TIP) 63
Details guidelines for implementing medication assisted treatment (MAT) of opioid use disorder (OUD) for healthcare professionals, policymakers, patients, and families. Discusses the different medications available to treat OUD, how and when to administer them, as well as what to watch for when using MAT for OUD.
Date: 02/2020
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Details guidelines for implementing medication assisted treatment (MAT) of opioid use disorder (OUD) for healthcare professionals, policymakers, patients, and families. Discusses the different medications available to treat OUD, how and when to administer them, as well as what to watch for when using MAT for OUD.
Date: 02/2020
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Syringe Service Program Use Among People Who Inject Drugs in Appalachian Kentucky
Explores implementation of a harm reduction program for people who inject drugs (PWIDs) in rural Kentucky. Evaluates the efficacy of a syringe service program at reducing the transmission rates of HIV and HCV among PWIDs in Appalachian Kentucky.
Author(s): Hilary L. Surratt, Amy M. Cowley, Jennifer Gulley, et al.
Citation: American Journal of Public Health, 110(1), 34-36
Date: 01/2020
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Explores implementation of a harm reduction program for people who inject drugs (PWIDs) in rural Kentucky. Evaluates the efficacy of a syringe service program at reducing the transmission rates of HIV and HCV among PWIDs in Appalachian Kentucky.
Author(s): Hilary L. Surratt, Amy M. Cowley, Jennifer Gulley, et al.
Citation: American Journal of Public Health, 110(1), 34-36
Date: 01/2020
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Preventing Opioid Overdose with Peer-Administered Naloxone: Findings from a Rural State
Highlights a study on the efficacy of peer-administered naloxone to prevent opioid overdose deaths. Bases conclusions on interviews with individuals who have received the training and the naloxone kits from a program in rural Alaska.
Author(s): Bridget L. Hanson, Rebecca R. Porter, Amanda L. Zöld, Heather Terhorst-Miller
Citation: Harm Reduction Journal, 17(1), 4
Date: 01/2020
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Highlights a study on the efficacy of peer-administered naloxone to prevent opioid overdose deaths. Bases conclusions on interviews with individuals who have received the training and the naloxone kits from a program in rural Alaska.
Author(s): Bridget L. Hanson, Rebecca R. Porter, Amanda L. Zöld, Heather Terhorst-Miller
Citation: Harm Reduction Journal, 17(1), 4
Date: 01/2020
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Socioeconomic Risk Factors for Fatal Opioid Overdoses in the United States: Findings from the Mortality Disparities in American Communities Study (MDAC)
Highlights a study that correlates demographic and socioeconomic status with opioid overdose fatalities. Draws data from the Mortality Disparities in American Community Study (MDAC) and compares results by rural/nonrural residence, race, employment, and educational attainment, among other measures.
Author(s): Sean F. Altekruse, Candace M. Cosgrove, William C. Altekruse, Richard A. Jenkins, Carlos Blanco
Citation: PLoS One, 15(1)
Date: 01/2020
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Highlights a study that correlates demographic and socioeconomic status with opioid overdose fatalities. Draws data from the Mortality Disparities in American Community Study (MDAC) and compares results by rural/nonrural residence, race, employment, and educational attainment, among other measures.
Author(s): Sean F. Altekruse, Candace M. Cosgrove, William C. Altekruse, Richard A. Jenkins, Carlos Blanco
Citation: PLoS One, 15(1)
Date: 01/2020
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Rural Community Action Guide: Building Stronger, Healthy, Drug-Free Rural Communities
Provides an overview of challenges rural communities face related to substance use disorder (SUD), including prescription opioid misuse. Identifies action steps rural communities can take related to prevention, treatment, recovery, and SUD-related issues such as stigma, transportation barriers, and lack of employment opportunities. Features programs that are working to address these issues in rural communities.
Additional links: Promising Practices Supplement
Date: 01/2020
Sponsoring organization: Office of National Drug Control Policy
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Provides an overview of challenges rural communities face related to substance use disorder (SUD), including prescription opioid misuse. Identifies action steps rural communities can take related to prevention, treatment, recovery, and SUD-related issues such as stigma, transportation barriers, and lack of employment opportunities. Features programs that are working to address these issues in rural communities.
Additional links: Promising Practices Supplement
Date: 01/2020
Sponsoring organization: Office of National Drug Control Policy
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Associations Between Stopping Prescriptions for Opioids, Length of Opioid Treatment, and Overdose or Suicide Deaths in US Veterans: Observational Evaluation
Highlights a study on the correlation between halting treatment for opioid use disorder, length of treatment, and death from overdose or suicide among Veterans Health Administration patients. Breaks down data by age, sex, and rural status among other factors.
Author(s): Elizabeth M Oliva, Thomas Bowe, Ajay Manhapra, et al.
Citation: BMJ, 2020: m283
Date: 2020
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Highlights a study on the correlation between halting treatment for opioid use disorder, length of treatment, and death from overdose or suicide among Veterans Health Administration patients. Breaks down data by age, sex, and rural status among other factors.
Author(s): Elizabeth M Oliva, Thomas Bowe, Ajay Manhapra, et al.
Citation: BMJ, 2020: m283
Date: 2020
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Does a Rural Community-Based Intervention Improve Knowledge and Attitudes of Opioid Use Disorder and Medication-Assisted Treatment? A Report From the IT MATTTRs Study
Details a study on the effect of a community-based intervention on a rural Colorado community's perception and knowledge of medication-assisted treatment (MAT) for opioid use disorder (OUD). Bases findings on surveys of community members both before and after the intervention. Breaks down participant data by age and affiliation to the study, among other measures.
Author(s): Kristen Curcija, Linda Zittleman, Mary Fisher, et al.
Citation: Journal of Rural Health, 38(1), 120-128
Date: 2020
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Details a study on the effect of a community-based intervention on a rural Colorado community's perception and knowledge of medication-assisted treatment (MAT) for opioid use disorder (OUD). Bases findings on surveys of community members both before and after the intervention. Breaks down participant data by age and affiliation to the study, among other measures.
Author(s): Kristen Curcija, Linda Zittleman, Mary Fisher, et al.
Citation: Journal of Rural Health, 38(1), 120-128
Date: 2020
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Recognition and Stigma of Prescription Drug Abuse Disorder: Personal and Community Determinants
Highlights a study on the role personal and community characteristics play in levels of stigma around prescription drug misuse. Breaks down data by age, income, and rurality of the county.
Author(s): Robert Shupp, Scott Loveridge, Mark Skidmore, et al.
Citation: BMC Public Health, 20, 977
Date: 2020
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Highlights a study on the role personal and community characteristics play in levels of stigma around prescription drug misuse. Breaks down data by age, income, and rurality of the county.
Author(s): Robert Shupp, Scott Loveridge, Mark Skidmore, et al.
Citation: BMC Public Health, 20, 977
Date: 2020
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Caring for People with Mental Health and Substance Use Disorders in Primary Care Settings
Report explores how primary care providers can best provide mental health and substance use disorder services to their patients. Discusses the barriers to behavioral healthcare in rural areas such as insurance coverage, workforce shortages, and lack of transportation, among others, and highlights the role primary care providers can play in overcoming those barriers.
Additional links: Read Online
Date: 2020
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Report explores how primary care providers can best provide mental health and substance use disorder services to their patients. Discusses the barriers to behavioral healthcare in rural areas such as insurance coverage, workforce shortages, and lack of transportation, among others, and highlights the role primary care providers can play in overcoming those barriers.
Additional links: Read Online
Date: 2020
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Annual Surveillance Report of Drug-Related Risks and Outcomes, 2019
Summarizes latest information on opioid prescribing, drug use, and overdose mortality from 2018-2019. Features statistics with breakdowns by large metropolitan, small metropolitan, non-metropolitan urbanized, non-metropolitan less urbanized, and completely rural. Highlights notable differences in the report from 2018 to 2019.
Additional links: Highlights
Date: 2020
Sponsoring organization: Centers for Disease Control and Prevention
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Summarizes latest information on opioid prescribing, drug use, and overdose mortality from 2018-2019. Features statistics with breakdowns by large metropolitan, small metropolitan, non-metropolitan urbanized, non-metropolitan less urbanized, and completely rural. Highlights notable differences in the report from 2018 to 2019.
Additional links: Highlights
Date: 2020
Sponsoring organization: Centers for Disease Control and Prevention
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Additional resources are available related to this guide. See the full list of resources by topic for:
- Alcohol use
- Behavioral health
- Behavioral health workforce
- Illicit drug use
- Prescription drug misuse
- Substance use and misuse
- Tobacco use
Last Updated: 5/8/2025