Substance Use and Misuse in Rural Areas – Resources

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
Type: Document
Sponsoring organization: American Hospital Association
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Spit It Out-West Virginia
Video highlighting the Spit it Out program, which serves six West Virginia Coal Country counties. Describes how the Southern Coalfields Tobacco Prevention Coalition Network partnered with mining companies to reduce tobacco use, particularly smokeless tobacco use.
Date: 08/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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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
Type: Document
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
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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SLV N.E.E.D. (Naloxone - Education - Empowerment - Distribution)
Video featuring the San Luis Valley N.E.E.D. (Naloxone - Education - Empowerment - Distribution) program, which provides opioid-related education to healthcare providers and the community, as well as a naloxone distribution program and naloxone training for first responders in six rural Colorado counties.
Date: 07/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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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
Type: Document
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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
Type: Document
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
Type: Document
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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
Type: Document
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
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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