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Substance Use and Misuse in Rural Areas – Resources

Selected recent or important resources focusing on Substance Use and Misuse in Rural Areas.

Rural Healthy People 2030: Common Challenges, Rural Nuances
Policy brief focused on Rural Healthy People 2030, a companion piece to the Healthy People 2030 initiative with a focus on health priorities of rural populations. Features rural stakeholder perspectives on the top 20 Rural Healthy People priorities with breakdowns by census region, Medicaid expansion status, gender, age, race, and field of employment.
Author(s): Morgan Kassabian, Aakriti Shrestha, Timothy Callaghan, et al.
Date: 05/2023
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Behavioral Health Conditions Reach Crisis Levels: Counties Urge Stronger Intergovernmental Partnerships and Outcomes
Features a number of counties throughout the nation and details their behavioral health needs and access challenges. Presents each county as a case study. Describes the policy priorities for each county and the barriers to access. Several of the featured counties are rural.
Additional links: Executive Summary
Date: 05/2023
Type: Document
Sponsoring organization: National Association of Counties
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Pandemic Era Telehealth Innovations in the Mental Health and Substance Use Treatment Fields: Practice-Informed Findings and Recommendations
Report highlights some takeaways from the expansion of telebehavioral health during the COVID-19 pandemic. Discusses the ways behavioral health providers adapted telehealth to their practices and the effect that had on access, outcomes, and care utilization, among other factors. Details the effect telebehavioral health had on expanding access to rural areas.
Date: 05/2023
Type: Document
Sponsoring organization: National Council for Mental Wellbeing
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An Exploratory Study of a Hands-on Naloxone Training for Rural Clinicians and Staff
Presents a study on the efficacy of a hands-on naloxone training for rural healthcare providers as a means of reducing opioid overdose fatalities in rural areas. Discusses the fentanyl-driven surge in opioid overdose deaths and describes the 1-hour training session, which involved a lecture and hands-on training with naloxone.
Author(s): Shameka L. Cody, Cheryl B. Hines, Christina J. Glenn, et al.
Citation: Journal of Nursing Scholarship, 55(3), 599-604
Date: 05/2023
Type: Document
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Evaluation of the Maternal Opioid Misuse (MOM) Model Second Annual Report (Implementation Year 1)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Rural and Urban Differences in Factors Associated with Inpatient Hospital Stays for Substance Use Disorder
Provides information on inpatient hospital stays for patients with substance use disorder (SUD) by rural and urban location. Utilizes 2018 Healthcare Cost and Utilization Project (HCUP) data to examine 81,857 inpatient hospital stays, with rural versus urban data further broken down by age, sex, race/ethnicity, type of SUD diagnosis, secondary conditions and comorbidities, admission type and source, Health Professional Shortage Area (HPSA) status, payer type, hospital characteristics, and more.
Author(s): Craig Holden, Curt Mueller, Shena Popat, Alana Knudson
Date: 04/2023
Type: Document
Sponsoring organization: Rural Health Equity Research Center
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Factors Associated with Lengths-of-Stay for Inpatients with Substance Use Disorders
Policy brief identifying factors associated with inpatient length-of-stay (LOS) for the treatment of substance use disorders (SUDs) and exploring whether there are systematic differences in LOS for rural and urban residents. Includes statistics on characteristics of stays for a primary SUD diagnosis in Kentucky, North Carolina, Vermont, and Washington in 2018, with breakdowns by Mental Health Professional Shortage Area and rural or urban location, and selected factors on LOS for an SUD diagnosis, with breakdowns by mental diagnoses, chronic conditions, and socio-demographic measures.
Author(s): Curt Mueller, Craig Holden, Shena Popat, Alana Knudson
Date: 04/2023
Type: Document
Sponsoring organization: Rural Health Equity Research Center
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The Rural Behavioral Health Crisis Continuum: Considerations and Emerging State Strategies
Presents examples of state strategies for bolstering the rural behavioral health crisis care continuum at each level of care.
Author(s): Miriam Pearsall, Sandra Wilkniss
Date: 04/2023
Type: Document
Sponsoring organization: National Academy for State Health Policy
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The State Perspective on Rural Behavioral Health Crisis Services
Provides an overview of a 12-month State Policy Academy on Rural Mental Health Crisis Services to help five states - Montana, South Carolina, South Dakota, Texas, and Wisconsin - work to improve rural behavioral health crisis services. Summarizes lessons learned, successes, and next steps. Covers data-informed strategies, cross-state and stakeholder partnerships, financing and funding approaches, the behavioral health workforce, and telehealth.
Author(s): Miriam Pearsall, Sandra Wilkniss
Date: 04/2023
Type: Document
Sponsoring organization: National Academy for State Health Policy
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A Qualitative Analysis of Rural Syringe Service Program Fidelity in Appalachian Kentucky: Staff and Participant Perspectives
Presents a study exploring the fidelity of rural syringe service programs (SSPs) to the core components of SSPs. Highlights five SSPs in rural Appalachia and evaluates the programs' adherence to the six core components of SSPs. Bases findings on interviews with clients and staff.
Author(s): E.J. Batty, U. Ibragimov, M. Fadanelli, et al.
Citation: Journal of Rural Health, 39(2), 328-337
Date: 03/2023
Type: Document
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Last Updated: 9/11/2023