Substance Use and Misuse in Rural Areas – Resources
Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.
The Opioid Epidemic and Federal Efforts to Address It: Frequently Asked Questions
Provides an overview of America's opioid problem, including information on abuse and supply, and discusses federal agencies and programs that address opioid abuse. Also discusses recent federal legislation and state-level policies that seek to combat the opioid problem.
Date: 10/2017
Sponsoring organization: Congressional Research Service
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Provides an overview of America's opioid problem, including information on abuse and supply, and discusses federal agencies and programs that address opioid abuse. Also discusses recent federal legislation and state-level policies that seek to combat the opioid problem.
Date: 10/2017
Sponsoring organization: Congressional Research Service
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Illicit Drug Use, Illicit Drug Use Disorders, and Drug Overdose Deaths in Metropolitan and Nonmetropolitan Areas — United States
Reports on trends in illicit drug use, illicit drug use disorders, and overdose deaths in large metropolitan, small metropolitan, and nonmetropolitan areas, based on 2003–2014 National Survey on Drug Use and Health (NSDUH) data and 1999–2015 National Vital Statistics System Mortality (NVSS-M) data. Includes metro/nonmetro illicit drug use data by sex, age group, race/ethnicity, and household income. Includes data on metro/nonmetro drug overdose deaths by sex, race/ethnicity, intent (unintentional, homicide, suicide, undetermined), and age group.
Author(s): Karin A. Mack, Christopher M. Jones, Michael F. Ballesteros
Citation: MMWR Surveillance Summaries, 66(19), 1-12
Date: 10/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on trends in illicit drug use, illicit drug use disorders, and overdose deaths in large metropolitan, small metropolitan, and nonmetropolitan areas, based on 2003–2014 National Survey on Drug Use and Health (NSDUH) data and 1999–2015 National Vital Statistics System Mortality (NVSS-M) data. Includes metro/nonmetro illicit drug use data by sex, age group, race/ethnicity, and household income. Includes data on metro/nonmetro drug overdose deaths by sex, race/ethnicity, intent (unintentional, homicide, suicide, undetermined), and age group.
Author(s): Karin A. Mack, Christopher M. Jones, Michael F. Ballesteros
Citation: MMWR Surveillance Summaries, 66(19), 1-12
Date: 10/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Implementing Medication-Assisted Treatment for Opioid Use Disorder in Rural Primary Care: Environmental Scan Volume 1
Details challenges and barriers to implementing medication-assisted treatment (MAT) for opioid use disorder (OUD) in a primary care setting, such as healthcare policy, workforce, and financing, among others. Includes 250 tools and resources to help overcome barriers and support implementation MAT in rural areas.
Additional links: Volume 2: Tools and Resources
Author(s): Garrett E. Moran, Caroline M. Snyder, Rebecca F. Noftsinger, Joshua K. Noda
Date: 10/2017
Sponsoring organization: Agency for Healthcare Research and Quality
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Details challenges and barriers to implementing medication-assisted treatment (MAT) for opioid use disorder (OUD) in a primary care setting, such as healthcare policy, workforce, and financing, among others. Includes 250 tools and resources to help overcome barriers and support implementation MAT in rural areas.
Additional links: Volume 2: Tools and Resources
Author(s): Garrett E. Moran, Caroline M. Snyder, Rebecca F. Noftsinger, Joshua K. Noda
Date: 10/2017
Sponsoring organization: Agency for Healthcare Research and Quality
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Tackling the Opioid Crisis in a Rural Community
Discusses a partnership between a rural hospital physician and the director of a community counseling center to establish a medication-assisted treatment (MAT) for opioid addiction in rural Maine. Presents the program's support structure, as well as the advantages of having an integrated treatment approach.
Date: 09/2017
Sponsoring organization: American Hospital Association
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Discusses a partnership between a rural hospital physician and the director of a community counseling center to establish a medication-assisted treatment (MAT) for opioid addiction in rural Maine. Presents the program's support structure, as well as the advantages of having an integrated treatment approach.
Date: 09/2017
Sponsoring organization: American Hospital Association
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Heartache, Pain, and Hope: Rural Communities, Older People, and the Opioid Crisis: An Introduction for Funders
Provides an overview of the opioid crisis and its impact on the lives of older adults. Addresses both opioid use by older adults and addiction within older adults' families. Identifies solutions being implemented by governments, communities, healthcare providers, and funders to address these concerns. Includes policy recommendations.
Date: 08/2017
Sponsoring organization: Grantmakers In Aging
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Provides an overview of the opioid crisis and its impact on the lives of older adults. Addresses both opioid use by older adults and addiction within older adults' families. Identifies solutions being implemented by governments, communities, healthcare providers, and funders to address these concerns. Includes policy recommendations.
Date: 08/2017
Sponsoring organization: Grantmakers In Aging
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Patient Residence Characteristics of Opioid-Related Inpatient Stays and Emergency Department Visits Nationally and by State, 2014
Provides data on opioid-related hospital inpatient stays and emergency department (ED) visits from 2005 to 2014. Includes data by location of patient residence for metropolitan and rural areas. Identifies states where the highest rates of opioid-related inpatient stays and ED visits are in rural areas. Also provides data by community-level income.
Author(s): Audrey J. Weiss, Molly K. Bailey, Lauren O'Malley, et al.
Date: 07/2017
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides data on opioid-related hospital inpatient stays and emergency department (ED) visits from 2005 to 2014. Includes data by location of patient residence for metropolitan and rural areas. Identifies states where the highest rates of opioid-related inpatient stays and ED visits are in rural areas. Also provides data by community-level income.
Author(s): Audrey J. Weiss, Molly K. Bailey, Lauren O'Malley, et al.
Date: 07/2017
Sponsoring organization: Agency for Healthcare Research and Quality
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Barriers Rural Physicians Face Prescribing Buprenorphine for Opioid Use Disorder
Examines the barriers rural physicians who hold Drug Enforcement Agency (DEA) waivers to prescribe buprenorphine face. Seeks to explain why some rural physicians who hold a DEA waiver choose not to prescribe buprenorphine or treat a fewer number of patients than their waiver allows. Data was collected through a 2016 survey of all physicians with DEA waivers in rural areas.
Author(s): C. Holly A. Andrilla, Cynthia Coulthard, Eric H. Larson
Citation: Annals of Family Medicine, 15(4), 359-362
Date: 07/2017
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Examines the barriers rural physicians who hold Drug Enforcement Agency (DEA) waivers to prescribe buprenorphine face. Seeks to explain why some rural physicians who hold a DEA waiver choose not to prescribe buprenorphine or treat a fewer number of patients than their waiver allows. Data was collected through a 2016 survey of all physicians with DEA waivers in rural areas.
Author(s): C. Holly A. Andrilla, Cynthia Coulthard, Eric H. Larson
Citation: Annals of Family Medicine, 15(4), 359-362
Date: 07/2017
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Final Report: Opioid Use, Misuse, and Overdose in Women
Discusses the need for prevention, treatment and recovery programs for women who have opioid use disorders. Focuses on the increase in opioid use among the female population and ways to help manage and respond to the impact of overuse and overdose. Provides a summary of the September 2016 national meeting focus on opioid use in women. Includes information about how rural location affects use and treatment, particularly lack of access to care and overdose remedies.
Additional links: White Paper, December 2016
Date: 07/2017
Sponsoring organization: U.S. Department of Health and Human Services Office on Women's Health
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Discusses the need for prevention, treatment and recovery programs for women who have opioid use disorders. Focuses on the increase in opioid use among the female population and ways to help manage and respond to the impact of overuse and overdose. Provides a summary of the September 2016 national meeting focus on opioid use in women. Includes information about how rural location affects use and treatment, particularly lack of access to care and overdose remedies.
Additional links: White Paper, December 2016
Date: 07/2017
Sponsoring organization: U.S. Department of Health and Human Services Office on Women's Health
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The Use of E-cigarettes among School-going Adolescents in a Predominantly Rural Environment of Central Appalachia
Highlights a study on e-cigarette use among adolescents in rural Northeast Tennessee. Breaks down data by gender, age, and the concurrent use of e-cigarette and other tobacco products, among other factors.
Author(s): Daniel Owusu, Jocelyn Aibangbee, Candice Collins, et al.
Citation: Journal of Community Health, 42(3), 624-631
Date: 06/2017
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Highlights a study on e-cigarette use among adolescents in rural Northeast Tennessee. Breaks down data by gender, age, and the concurrent use of e-cigarette and other tobacco products, among other factors.
Author(s): Daniel Owusu, Jocelyn Aibangbee, Candice Collins, et al.
Citation: Journal of Community Health, 42(3), 624-631
Date: 06/2017
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Rural and Urban Utilization of the Emergency Department for Mental Health and Substance Abuse
Details a report on the use of emergency services in treating mental health and substance abuse (MH/SA) in both rural and urban settings. Discusses healthcare needs of MH/SA patients, as well as the increasing demands on emergency departments. Breaks down data by urban, large rural, small rural, and isolated rural emergency departments, as well as by age and primary payer of patients.
Author(s): Shawnda Schroeder, Mandi Leigh-Peterson
Date: 06/2017
Sponsoring organization: Rural Health Reform Policy Research Center
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Details a report on the use of emergency services in treating mental health and substance abuse (MH/SA) in both rural and urban settings. Discusses healthcare needs of MH/SA patients, as well as the increasing demands on emergency departments. Breaks down data by urban, large rural, small rural, and isolated rural emergency departments, as well as by age and primary payer of patients.
Author(s): Shawnda Schroeder, Mandi Leigh-Peterson
Date: 06/2017
Sponsoring organization: Rural Health Reform Policy Research Center
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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: 3/20/2025