Rural Health
Resources by Topic: Illicit drug use
Mental Health Surveillance Among Children — United States, 2013–2019
Examines mental disorders and indicators of poor mental health among children, mental health services for children, and positive indicators of mental health, based on data from nine federal surveillance systems. Includes rural data on attention-deficit/hyperactivity disorder; behavioral or conduct problems; depression; anxiety; autism spectrum disorder; Tourette syndrome; substance use disorder, alcohol use disorder, and/or illicit drug use disorder; suicidal ideation and suicide attempts; receipt of mental health treatment, services, and medication; and positive indicators of mental health.
Author(s): Rebecca H. Bitsko, Angelika H. Claussen, Jesse Lichstein, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report) Supplements, 71(2), 1-42
Date: 02/2022
Sponsoring organization: Centers for Disease Control and Prevention
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Examines mental disorders and indicators of poor mental health among children, mental health services for children, and positive indicators of mental health, based on data from nine federal surveillance systems. Includes rural data on attention-deficit/hyperactivity disorder; behavioral or conduct problems; depression; anxiety; autism spectrum disorder; Tourette syndrome; substance use disorder, alcohol use disorder, and/or illicit drug use disorder; suicidal ideation and suicide attempts; receipt of mental health treatment, services, and medication; and positive indicators of mental health.
Author(s): Rebecca H. Bitsko, Angelika H. Claussen, Jesse Lichstein, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report) Supplements, 71(2), 1-42
Date: 02/2022
Sponsoring organization: Centers for Disease Control and Prevention
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Rural Health Research Recap: Opioid Use Disorder and Treatment: Rural-Urban Comparisons
Summary of research on opioid use disorder (OUD) among youth, young adults, and pregnant women, the impact of OUD on hospitals and emergency departments, and the use of buprenorphine and partial psychiatric hospitalization programs as treatment for OUD. Features statistics including population-adjusted emergency department rates per 100 people from 2005-2016 and opioid-related emergency room visit rates per 100,000 people in 2006 and 2013, with breakdowns by urban or rural location.
Author(s): Per Ostmo
Date: 02/2022
Sponsoring organization: Rural Health Research Gateway
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Summary of research on opioid use disorder (OUD) among youth, young adults, and pregnant women, the impact of OUD on hospitals and emergency departments, and the use of buprenorphine and partial psychiatric hospitalization programs as treatment for OUD. Features statistics including population-adjusted emergency department rates per 100 people from 2005-2016 and opioid-related emergency room visit rates per 100,000 people in 2006 and 2013, with breakdowns by urban or rural location.
Author(s): Per Ostmo
Date: 02/2022
Sponsoring organization: Rural Health Research Gateway
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Social Determinants of Mortality of COVID-19 and Opioid Overdose in American Rural and Urban Counties
Highlights a study on the social determinants of health that correlate with high COVID-19 and opioid overdose mortality in rural and urban counties. Breaks down county data by median income, unemployment, and healthcare workforce, among other factors.
Author(s): Yuhui Zhu, Zhe Fei, Larissa J. Mooney, et al.
Citation: Journal of Addiction Medicine, 16(1), e52-e55
Date: 02/2022
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Highlights a study on the social determinants of health that correlate with high COVID-19 and opioid overdose mortality in rural and urban counties. Breaks down county data by median income, unemployment, and healthcare workforce, among other factors.
Author(s): Yuhui Zhu, Zhe Fei, Larissa J. Mooney, et al.
Citation: Journal of Addiction Medicine, 16(1), e52-e55
Date: 02/2022
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Commission on Combating Synthetic Opioid Trafficking Final Report
Reports on synthetic drug trafficking in the U.S., including the challenges for law enforcement, need for updated drug policy, and surveillance and data analysis concerns. Discusses public health considerations and challenges for reducing the demand for drugs via treatment. Technical Appendixes include rural references throughout, and Figure B.5 shows opioid-involved overdose deaths by Core-Based Statistical Areas (CBSAs) for 2000-2019.
Additional links: Technical Appendixes
Date: 02/2022
Sponsoring organizations: Drug Enforcement Administration, Office of National Drug Control Policy, Office of the Director of National Intelligence, RAND Corporation, U.S. Department of Defense, U.S. Department of Homeland Security, U.S. Department of State, U.S. Department of Treasury, U.S. House of Representatives, U.S. Senate
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Reports on synthetic drug trafficking in the U.S., including the challenges for law enforcement, need for updated drug policy, and surveillance and data analysis concerns. Discusses public health considerations and challenges for reducing the demand for drugs via treatment. Technical Appendixes include rural references throughout, and Figure B.5 shows opioid-involved overdose deaths by Core-Based Statistical Areas (CBSAs) for 2000-2019.
Additional links: Technical Appendixes
Date: 02/2022
Sponsoring organizations: Drug Enforcement Administration, Office of National Drug Control Policy, Office of the Director of National Intelligence, RAND Corporation, U.S. Department of Defense, U.S. Department of Homeland Security, U.S. Department of State, U.S. Department of Treasury, U.S. House of Representatives, U.S. Senate
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Postmortem Screening of Opioids, Benzodiazepines, and Alcohol Among Rural and Urban Suicide Decedents
Presents a study comparing the co-use of opioids and other substances in opioid-related overdose suicides in rural and urban areas. Breaks down 2012-2015 data from the National Violent Death Reporting System (NVDRS) by toxicology reports, sex, race, and mental health history, among other factors.
Author(s): KM Bensley, William C Kerr, Sarah Beth Barnett, Nina Mulia
Citation: Journal of Rural Health, 38(1), 77-86
Date: 01/2022
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Presents a study comparing the co-use of opioids and other substances in opioid-related overdose suicides in rural and urban areas. Breaks down 2012-2015 data from the National Violent Death Reporting System (NVDRS) by toxicology reports, sex, race, and mental health history, among other factors.
Author(s): KM Bensley, William C Kerr, Sarah Beth Barnett, Nina Mulia
Citation: Journal of Rural Health, 38(1), 77-86
Date: 01/2022
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Increasing Capacity for Treatment of Opioid Use Disorder in Rural Primary Care Practices
Examines strategies to improve the treatment of opioid use disorder (OUD) in primary care practices (PCPs) through the program Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado (IT MATTTRs). Reports on 42 PCPs who participated in IT MATTTRs over 20 months beginning in September 2017. Discusses program efficacy and potential impacts on OUD in rural areas.
Author(s): Linda Zittleman, Kristen Curcija, Donald E. Nease Jr, et al.
Citation: Annals of Family Medicine, 20(1), 18-23
Date: 01/2022
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Examines strategies to improve the treatment of opioid use disorder (OUD) in primary care practices (PCPs) through the program Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado (IT MATTTRs). Reports on 42 PCPs who participated in IT MATTTRs over 20 months beginning in September 2017. Discusses program efficacy and potential impacts on OUD in rural areas.
Author(s): Linda Zittleman, Kristen Curcija, Donald E. Nease Jr, et al.
Citation: Annals of Family Medicine, 20(1), 18-23
Date: 01/2022
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Applications of Research Evidence During Processes to Acquire Approvals for Syringe Services Program Implementation in Rural Counties in Kentucky
Presents a study on the research used to implement syringe services programs (SSPs) for people who inject drugs (PWID) in rural counties in Kentucky. Discusses the methods used for applying SSP research to the program approval and implementation processes.
Author(s): Sean T. Allen, Suzanne M. Grieb, Jennifer L. Glick, et al.
Citation: Annals of Medicine, 54(1), 404–412
Date: 01/2022
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Presents a study on the research used to implement syringe services programs (SSPs) for people who inject drugs (PWID) in rural counties in Kentucky. Discusses the methods used for applying SSP research to the program approval and implementation processes.
Author(s): Sean T. Allen, Suzanne M. Grieb, Jennifer L. Glick, et al.
Citation: Annals of Medicine, 54(1), 404–412
Date: 01/2022
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A Qualitative Study on Pharmacy Policies Toward Over-the-Counter Syringe Sales in a Rural Epicenter of US Drug-Related Epidemics
Examines pharmacy over-the-counter (OTC) policies and pharmacists' rationale for, and barriers and facilitators to, OTC syringe sales in a rural Appalachian Kentucky area hard hit by drug-related epidemics. Uses data collected from interviews with 14 pharmacists between February 2018 and January 2019.
Author(s): Monica Fadanelli, Hannah L. F. Cooper, Patricia R. Freeman, et al.
Citation: Harm Reduction Journal, 19(1)
Date: 01/2022
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Examines pharmacy over-the-counter (OTC) policies and pharmacists' rationale for, and barriers and facilitators to, OTC syringe sales in a rural Appalachian Kentucky area hard hit by drug-related epidemics. Uses data collected from interviews with 14 pharmacists between February 2018 and January 2019.
Author(s): Monica Fadanelli, Hannah L. F. Cooper, Patricia R. Freeman, et al.
Citation: Harm Reduction Journal, 19(1)
Date: 01/2022
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Rural and Urban Differences in Undersupply of Buprenorphine Provider Availability in the United States, 2018
Presents a study comparing county-level rates of providers with buprenorphine waivers with rates of opioid-overdose deaths and compares rural and urban areas. Details rural and urban comparisons for 38 states.
Author(s): Kevin P. Conway, Dalia Khoury, Rainer Hilscher, et al.
Citation: Addiction Science and Clinical Practice, 17, 5
Date: 01/2022
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Presents a study comparing county-level rates of providers with buprenorphine waivers with rates of opioid-overdose deaths and compares rural and urban areas. Details rural and urban comparisons for 38 states.
Author(s): Kevin P. Conway, Dalia Khoury, Rainer Hilscher, et al.
Citation: Addiction Science and Clinical Practice, 17, 5
Date: 01/2022
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Changes in Access to Medication Treatment during COVID-19 Telehealth Expansion and Disparities in Telehealth Use for Medicare Beneficiaries with Opioid Use Disorder
Discusses policies that allow access to medication for opioid use disorder (MOUD) via telehealth before and during the COVID-19 pandemic. Examines outpatient telehealth use and MOUD treatment among Medicare beneficiaries by dual eligibility status, rurality, and presence of comorbid health conditions between April-December 2020.
Date: 01/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Discusses policies that allow access to medication for opioid use disorder (MOUD) via telehealth before and during the COVID-19 pandemic. Examines outpatient telehealth use and MOUD treatment among Medicare beneficiaries by dual eligibility status, rurality, and presence of comorbid health conditions between April-December 2020.
Date: 01/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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