Substance Use and Misuse in Rural Areas – Resources

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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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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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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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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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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Changes in the Supply of Physicians with a DEA DATA Waiver to Prescribe Buprenorphine for Opioid Use Disorder
Data brief describing changes in access to waivered physicians from 2012 to 2016. Features a county-level map and statistics with breakdowns by urban areas and three levels of rural areas.
Author(s): C. Holly A. Andrilla, Cynthia Coulthard, Eric H. Larson
Date: 05/2017
Sponsoring organization: WWAMI Rural Health Research Center
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Substance Use in Rural Central Appalachia: Current Status and Treatment Considerations
Examines the factors in rural Central Appalachia that influence substance misuse and the treatments, strategies, and interventions to curb drug misuse and improve treatment outcomes. Discusses how the combination of poverty, work-related distress, lack of healthcare coverage, and the shortage of qualified providers of substance use treatments affect the need for a multifaceted policy approach in the region.
Author(s): Lara Moody, Emily Satterwhite, Warren K. Bickel
Citation: Rural Mental Health, 41(2), 123-135
Date: 04/2017
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Report on Lessons Learned from Rural Opioid Overdose Reversal Grant Recipients
Presents lessons learned from the recipients of the Rural Opioid Overdose Reversal (ROOR) Program grants. The ROOR Program was piloted by the Federal Office of Rural Health Policy (FORHP) in 2015 and seeks to combat the opioid crisis at the local level. Report also shares resources designed to assist other rural organizations and documents the impact of the pilot year program. Provides background information on each of the 18 original grant recipients and their programs.
Date: 04/2017
Sponsoring organization: National Organization of State Offices of Rural Health
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Rural Opioid Prevention and Treatment Strategies: The Experience in Four States
Study examining strategies for dealing with the rural opioid crisis, including prevention, treatment, and recovery services. Uses data from interviews with key stakeholders in Indiana, North Carolina, Vermont, and Washington.
Additional links: Research and Policy Brief
Author(s): John A. Gale, Anush Y. Hansen, Martha Elbaum Williamson
Date: 04/2017
Sponsoring organization: Maine Rural Health Research Center
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Prevention of Drug Use and Treatment of Drug Use Disorders in Rural Areas
Discusses the role and potential benefits of engaging rural communities in the treatment and prevention of substance use disorders. Includes a discussion of substance use problems in the rural context, and provides examples of useful tools and evidence-based strategies. Provides a list of additional resources, and a self-assessment tool designed to help identify needs, capacities, and strategies in your community.
Date: 03/2017
Sponsoring organization: United Nations Office on Drugs and Crime
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