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Rural Health
Resources by Topic: Behavioral health

Opioids in Appalachia: The Role of Counties in Reversing a Regional Epidemic
Details the state of the opioid epidemic in Appalachia and presents recommendations to help county leaders respond to the opioid crisis. Features individual county case studies highlighting the challenges and strategies in addressing the opioid crisis.
Additional links: Executive Summary
Date: 05/2019
Type: Document
Sponsoring organization: National Association of Counties
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Rural-Urban Differences in Psychiatric Partial Hospitalization Program Availability
Slides presented at the 2019 National Rural Health Association (NRHA) annual conference discussing differences in Psychiatric Partial Hospitalization Program (PHP) participation for rural and urban hospitals.
Author(s): Timothy Williams, Ty Borders
Date: 05/2019
Type: Presentation Slides
Sponsoring organization: Rural and Underserved Health Research Center
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An Update on the President's Commission on Combating Drug Addiction and the Opioid Crisis: One Year Later
Report details a one year update to the Trump Administration President's Commission on Combating Drug Addiction and the Opioid Crisis. Highlighted the commission's accomplishments and examined its initial objectives. Includes rural references throughout.
Date: 05/2019
Type: Document
Sponsoring organization: The White House
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National Security Subcommittee Hearing: Veteran and Active-Duty Military Suicides
Provides a recording of a U.S. House Committee on Oversight and Reform hearing on veteran and active-duty service member suicides. Addresses efforts by the Department of Veterans Affairs (VA) and Department of Defense (DOD) to prevent suicides as well as the roles of mental health and crisis support groups, local communities, and veterans advocacy organizations. Includes some discussion related to rural. Features testimonies from the Veterans Health Administration, National Director of Suicide Prevention, the U.S. Department of Defense Mental Health Programs and Defense Suicide Prevention Office, and RAND Corporation.
Additional links: Richard Stone Testimony
Date: 05/2019
Type: Video/Multimedia
Sponsoring organizations: Committee on Oversight and Reform, U.S. House of Representatives
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Drug Overdose Deaths Involving Cocaine and Psychostimulants with Abuse Potential — United States, 2003–2017
Reports age-adjusted death rates in 2016 and 2017 for cocaine and psychostimulants, with information by age group, sex, race/ethnicity, urbanization level, U.S. Census region, and state. Includes data for metropolitan, micropolitan, and non-core counties. Provides national-level trend data for 2003-2017 on deaths related to these substances that also involved opioids and that did not involve opioids.
Author(s): Mbabazi Kariisa, Lawrence Scholl, Nana Wilson, Puja Seth, Brooke Hoots
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(17), 388-395
Date: 05/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic: Proceedings of a Workshop
Reports on a workshop with multiple stakeholders discussing pain management in the context of the opioid misuse epidemic. Reviews the opioid epidemic, how responses to it have affected people with serious illness and pain, the pain management needs of people with substance use disorder, policy responses, and next steps. Includes a few examples from rural areas and addresses some challenges specific to rural.
Additional links: Read Online
Date: 05/2019
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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2019 Arizona State Health Assessment
Presents county-level data on a variety of health measures in Arizona, covering maternal and infant health, child and adolescent health, health conditions in adults, healthy aging, and targeted population health for tribal communities, veterans, and border health. Examines community-level health and economic data and public health capacity to address health issues. Updated every 5 years.
Date: 04/2019
Type: Document
Sponsoring organization: Arizona Department of Health Services
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Collaborative Models for Medication-Assisted Treatment: Key Elements of Vermont's Hub-and Spoke System
Describes the collaborative effort of three health-related organizations who partnered to develop and implement a medication assisted therapy (MAT) treatment practice using the hub and spoke model. This system was supported through a Centers for Medicare & Medicaid Services Health Home State Plan amendment for Vermont, a mostly rural state, to modify their current MAT services to increase access to addiction treatment, integrate health and addictions care, improve health outcomes, and promote recovery.
Date: 04/2019
Type: Document
Sponsoring organization: Medicaid Innovation Accelerator Program (IAP)
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Rural‐Urban Trends in Opioid Overdose Discharges in Missouri Emergency Departments, 2012‐2016
Study of opioid overdose cases treated by Missouri emergency departments from 2012-2016 that compares rural and urban rates. Analyzes billing data from the state's Patient Abstract System (PAS), including population information and type of opiate involved in the overdose over the data period. Discusses the role of non-heroin opioids in overdose rates and implications of observed trends for emergency departments.
Author(s): Whitney Coffey, Andrew Hunter, Evan Mobley, Alana Vivolo-Kantor
Citation: Journal of Rural Health, 36(2), 177-186
Date: 04/2019
Type: Document
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Scratching the Surface of Psychiatric Services Distribution and Public Health: An Indiana Assessment
Discusses the shortage of psychiatric providers in rural Indiana using data from the Indiana Professional Licensing Agency. Compares 2015 workforce data to population demographics and county-by-county data on behavioral and public health, including rates of hypertension, smoking, and substance abuse. Tables compare population characteristics to provider licensing data to illustrate psychiatry workforce challenges in rural counties.
Author(s): Steven Moberly, Hannah Maxey, Lacy Foy, et al.
Citation: The Journal of Behavioral Health Services and Research, 46(2), 267-282
Date: 04/2019
Type: Document
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