Substance Use and Misuse in Rural Areas – Resources
Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.
The SUPPORT for Patients and Communities Act (P.L.115-271): Medicare Provisions
Provides a section-by-section description of Medicare provisions in the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act). Addresses rural in two sections: Section 6083 seeks to expand access to addiction treatment in Federally Qualified Health Centers and Rural Health Clinics by paying for training costs to obtain a DATA waiver to furnish OUD treatment; Section 6042 authorizes a demonstration project testing expanded access to MAT drugs through teams with a primary care provider.
Date: 01/2019
Sponsoring organization: Congressional Research Service
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Provides a section-by-section description of Medicare provisions in the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act). Addresses rural in two sections: Section 6083 seeks to expand access to addiction treatment in Federally Qualified Health Centers and Rural Health Clinics by paying for training costs to obtain a DATA waiver to furnish OUD treatment; Section 6042 authorizes a demonstration project testing expanded access to MAT drugs through teams with a primary care provider.
Date: 01/2019
Sponsoring organization: Congressional Research Service
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An Innovative Approach to Care: Integrating Mental Health Services Through Telemedicine in Rural School-based Health Centers
Presents a study on the use of telemedicine to provide behavioral healthcare to rural children and adolescents through school-based health centers. Discusses the West Virginia Children's Access Network (WVCAN) and evaluates the successes and shortcomings of both the school-based health center model and telemedicine at providing behavioral healthcare to rural children.
Author(s): Taniya Pradhan, E. Ashley Six-Workman, Kari-Beth Law
Citation: Psychiatric Services, 70(3), 239-242
Date: 2019
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Presents a study on the use of telemedicine to provide behavioral healthcare to rural children and adolescents through school-based health centers. Discusses the West Virginia Children's Access Network (WVCAN) and evaluates the successes and shortcomings of both the school-based health center model and telemedicine at providing behavioral healthcare to rural children.
Author(s): Taniya Pradhan, E. Ashley Six-Workman, Kari-Beth Law
Citation: Psychiatric Services, 70(3), 239-242
Date: 2019
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Through the Diamond Threshold: A Community-based Psycho-educational Group Training Program for Treatment of Substance Use Disorders among American Indians
Discusses an intervention providing cultural competency training for providers of substance use disorder treatment in American Indian communities. Features a literature review outlining the training's framework.
Author(s): Rockey R. Robbins, Bryan G. Stare, Brittany M. Riggin
Citation: American Indian and Alaska Native Mental Health Research, 26(1), 79-105
Date: 2019
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Discusses an intervention providing cultural competency training for providers of substance use disorder treatment in American Indian communities. Features a literature review outlining the training's framework.
Author(s): Rockey R. Robbins, Bryan G. Stare, Brittany M. Riggin
Citation: American Indian and Alaska Native Mental Health Research, 26(1), 79-105
Date: 2019
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Comparing Buprenorphine-Prescribing Physicians Across Nonmetropolitan and Metropolitan Areas in the United States
Highlights a study comparing buprenorphine prescribing rates between metro and nonmetro areas. Looks at physician treatment practices, characteristics, and practice location.
Author(s): Lewei (Allison) Lin, Hannah K. Knudsen
Citation: Annals of Family Medicine, 17(3), 212-220
Date: 2019
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Highlights a study comparing buprenorphine prescribing rates between metro and nonmetro areas. Looks at physician treatment practices, characteristics, and practice location.
Author(s): Lewei (Allison) Lin, Hannah K. Knudsen
Citation: Annals of Family Medicine, 17(3), 212-220
Date: 2019
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Rural and Appalachian Disparities in Neonatal Abstinence Syndrome Incidence and Access to Opioid Abuse Treatment
Examines the disparity of Neonatal Abstinence Syndrome (NAS) prevalence in Appalachian and non-Appalachian Kentucky and in comparison to national data. Considers why data from this study may or may not be useful in identifying regional and national trends. Also discusses the challenges of providing substance abuse treatment to pregnant women and Appalachian populations.
Author(s): Joshua D. Brown, Amie J. Goodin, Jeffrey C. Talbert
Citation: Journal of Rural Health, 34(1), 6-13
Date: 12/2018
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Examines the disparity of Neonatal Abstinence Syndrome (NAS) prevalence in Appalachian and non-Appalachian Kentucky and in comparison to national data. Considers why data from this study may or may not be useful in identifying regional and national trends. Also discusses the challenges of providing substance abuse treatment to pregnant women and Appalachian populations.
Author(s): Joshua D. Brown, Amie J. Goodin, Jeffrey C. Talbert
Citation: Journal of Rural Health, 34(1), 6-13
Date: 12/2018
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Trend Differences in Men and Women in Rural and Urban U.S. Settings
Highlights a study on differences in rates of smoking between men and women in rural and urban areas across the U.S. Details age, income, and several other indicators that may contribute to rates of smoking.
Author(s): A. Cepeda-Benito, N.J. Doogan, R. Redner, et al.
Citation: Preventive Medicine, 117, 69-75
Date: 12/2018
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Highlights a study on differences in rates of smoking between men and women in rural and urban areas across the U.S. Details age, income, and several other indicators that may contribute to rates of smoking.
Author(s): A. Cepeda-Benito, N.J. Doogan, R. Redner, et al.
Citation: Preventive Medicine, 117, 69-75
Date: 12/2018
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Talking about Hepatitis C: FAQs from Young Adults who Inject Drugs
Highlights some common questions posed by rural young adults at high risk of hepatitis C (HCV) infection due to injectable drug use. Breaks down demographic data by sex and education among other measures.
Author(s): Lauren L. Knight, Katherine Wagner, Yuridia Leyva, et al.
Citation: Health Promotion Practice, 19(6), 815-822
Date: 11/2018
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Highlights some common questions posed by rural young adults at high risk of hepatitis C (HCV) infection due to injectable drug use. Breaks down demographic data by sex and education among other measures.
Author(s): Lauren L. Knight, Katherine Wagner, Yuridia Leyva, et al.
Citation: Health Promotion Practice, 19(6), 815-822
Date: 11/2018
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Designed Cultural Adaptation and Delivery Quality in Rural Substance Use Prevention: An Effectiveness Trial for the Keepin' it REAL Curriculum
Examines the effectiveness of two versions – one urban and one rural - of a culturally adapted evidence-based middle school substance use prevention curriculum on adolescents. Data collected included adolescent self-reported substance use, and ratings of quality in delivery analyzed from video recordings of lessons presented.
Author(s): Michael L. Hecht, YoungJu Shin, Jonathan Pettigrew, Michelle Miller-Day, Janice L. Krieger
Citation: Prevention Science 19(8), 1008-1018
Date: 11/2018
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Examines the effectiveness of two versions – one urban and one rural - of a culturally adapted evidence-based middle school substance use prevention curriculum on adolescents. Data collected included adolescent self-reported substance use, and ratings of quality in delivery analyzed from video recordings of lessons presented.
Author(s): Michael L. Hecht, YoungJu Shin, Jonathan Pettigrew, Michelle Miller-Day, Janice L. Krieger
Citation: Prevention Science 19(8), 1008-1018
Date: 11/2018
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Variations in Support for Secondhand Smoke Restrictions Across Diverse Rural Regions of the United States
Surveys the support of secondhand smoke restrictions among rural and urban people across all of the HHS regions. Explores the attitudes of people pertaining to smoking regulations in various locations, such as in homes, bars, and playgrounds, among others.
Author(s): Frances A. Stillman, Erin Tanenbaum, Mary Ellen Wewers, et al.
Citation: Preventive Medicine, 116, 157-165
Date: 11/2018
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Surveys the support of secondhand smoke restrictions among rural and urban people across all of the HHS regions. Explores the attitudes of people pertaining to smoking regulations in various locations, such as in homes, bars, and playgrounds, among others.
Author(s): Frances A. Stillman, Erin Tanenbaum, Mary Ellen Wewers, et al.
Citation: Preventive Medicine, 116, 157-165
Date: 11/2018
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Responding to the HIV Crisis in Scott County, Indiana: Q&A with Dr. William Cooke
An interview with Dr. William Cooke, the only physician in Austin, Indiana at the time of the country's largest rural HIV outbreak. Highlights the work of Dr. Cooke and his staff to help address HIV, hepatitis C, and opioid/substance use disorder in the community.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2018
Sponsoring organization: Rural Health Information Hub
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An interview with Dr. William Cooke, the only physician in Austin, Indiana at the time of the country's largest rural HIV outbreak. Highlights the work of Dr. Cooke and his staff to help address HIV, hepatitis C, and opioid/substance use disorder in the community.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2018
Sponsoring organization: Rural Health Information Hub
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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: 12/2/2025