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Rural Health
Resources by Topic: Illicit drug use

Availability of Behavioral Health Providers and Services in Rural Areas, with Holly Andrilla
An episode of the Exploring Rural Health podcast featuring Holly Andrilla, Deputy Director of the WWAMI Rural Health Research Center. Focuses on rural availability of psychiatrists, psychologists, psychiatric nurse practitioners, social workers, and counselors, as well as recent developments in access to medication for opioid use disorder (MOUD).
Date: 03/2023
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Urban–Rural Disparities in Deaths of Despair: A County-Level Analysis 2004–2016 in the U.S.
Presents a study exploring the rural-urban differences in drug, alcohol, and suicide mortality rates across the country from 2004 to 2016. Breaks down data by demographic factors, such as gender, employment, and health insurance, among other measures.
Author(s): Jong Hyung Lee, David C. Wheeler, Emily B. Zimmerman, et al.
Citation: American Journal of Preventive Medicine, 64(2), 149-156
Date: 02/2023
Type: Document
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Indigenous Evaluation Toolkit: An Actionable Guide for Organizations Serving American Indian/Alaska Native Communities through Opioid Prevention Programming
Toolkit presents guidance for American Indian and Alaska Native communities and organizations for providing opioid prevention services. Provides a four-phase plan for program design and details holistic and culturally competent approaches to opioid prevention.
Author(s): Danielle Eakins, Angela Gaffney, Caelin Marum, et al.
Date: 02/2023
Type: Document
Sponsoring organization: Seven Directions - A Center for Indigenous Public Health
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How One New Mexico County is Taking a Community-Wide Approach to Treating Alcohol and Substance Use Disorders
Features a McKinley County, New Mexico community consortium that takes a holistic approach to recovery. Discusses the need for cultural understanding of Native culture in providing treatment services. Describes the growth of the collaboration over time and the range of local organizations involved.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 02/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Evaluation of Post-Discharge Engagement for Emergency Department Patients with Opioid Use History Who Received Telehealth Recovery Coaching Services
Examines successful interventions for patients in emergency departments (EDs) who receive peer recovery coach (PRC) services via telehealth that support patients with opioid use disorder (OUD). Analyzes 13 EDs in Indiana who implemented telehealth PRC services starting in 2018, including 7 rural Critical Access Hospitals (CAHs). Includes rate of successful follow-ups proceeding PRC services broken down by patient age, sex, race, drug use method, referral types, and metro, small, or rural living location.
Author(s): Dennis P. Watson, Peter Phalen, Spencer Medcalf, Sarah Messmer, Alan McGuire
Citation: Substance Abuse Treatment, Prevention,18(9)
Date: 02/2023
Type: Document
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Geography, Rurality, and Community Distress: Deaths Due to Suicide, Alcohol-Use, and Drug-Use among Colorado Veterans
Explores the connection between distressed communities and mortality disparities in the Colorado veteran population. Utilizes 2009-2020 Centers for Disease Control and Prevention (CDC) Wide-ranging Online Data for Epidemiologic Research (WONDER) to examine suicide, alcohol, and drug related mortalities, with demographic data broken down by sex, age, race/ethnicity, marital status, distressed community index (DCI), and frontier, rural, or urban location. Includes county-level maps showing DCI and rurality.
Author(s): Talia L. Spark, Colleen E. Reid, Rachel Sayko Adams, et al.
Citation: Injury Epidemiology, 10, 8
Date: 02/2023
Type: Document
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Strategies to Recruit Rural Primary Care Providers to Implement a Medication for Opioid Use Disorder (MOUD) Focused Integrated Care Model
Highlights a study on an intervention aimed at addressing systemic barriers to accessing medications for opioid used disorder (MOUD) for rural patients via an integrated care model. Breaks down the intervention structure and discusses project replication and sustainability.
Author(s): Renee M. Cloutier, Evan S. Cole, Brianna L. McDonough, et al.
Citation: Implementation Research and Practice, 4, 1-12
Date: 01/2023
Type: Document
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HCV Serostatus and Injection Sharing Practices Among Those Who Obtain Syringes From Pharmacies and Directly and Indirectly From Syringe Services Programs in Rural New England
Explores the effect that syringe services programs (SSPs) have on hepatitis C (HCV) infection rates in rural people who inject drugs (PWID). Breaks down data by user characteristics, such as age, employment, and syringe sharing practices, among others.
Author(s): Eric Romo, Abby E. Rudolph, Thomas J. Stopka, et al.
Citation: Addiction Science and Clinical Practice, 18
Date: 01/2023
Type: Document
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Over the Hills and Through the Hollers: How One Program is Assisting Residents of Appalachia with Opioid Use Recovery
Results of a study evaluating the Kentucky Access to Recovery Program (KATR), which provides services to low-income adults recovering from opioid addiction in several rural eastern Kentucky counties. Examines the impact of KATR on service recipients' access to recovery services and supports.
Author(s): Aubrey E. Jones, Jayme E. Walters, Aaron R. Brown
Citation: Journal of Appalachian Health, 4(3), 71-86
Date: 01/2023
Type: Document
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I Don't Believe a Person Has to Die When Trying to Get High: Overdose Prevention and Response Strategies in Rural Illinois
Examines overdose prevention and response of service providers and people who inject drugs in rural southern Illinois. Reports on interviews with 23 participants from August 2019 through February 2020 and discusses issues such as the growing presence of fentanyl, overdose prevention, overdose reversal, harm reduction education, and more.
Author(s): Suzan M. Walters, Marisa Felsher, David Frank, et al.
Citation: International Journal of Environmental Research and Public Health, 20(2), 1648
Date: 01/2023
Type: Document
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