Rural Health
Resources by Topic: Illicit drug use
Indian Health Service Program Evaluation Services: Community Opioid Intervention Pilot Projects FY 2021-2022 Report
Report evaluates the Indian Health Service's Community Opioid Intervention Pilot Project aimed at addressing opioid use disorder in American Indian and Alaska Native communities. Collects and evaluates data from grantees after the program's first year, April 1, 2021-March 31, 2022. Explores grantees' progress in building organizational capacity, community and educational events, and professional trainings, among other measures.
Date: 07/2023
Type: Document
Sponsoring organization: Indian Health Service
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Report evaluates the Indian Health Service's Community Opioid Intervention Pilot Project aimed at addressing opioid use disorder in American Indian and Alaska Native communities. Collects and evaluates data from grantees after the program's first year, April 1, 2021-March 31, 2022. Explores grantees' progress in building organizational capacity, community and educational events, and professional trainings, among other measures.
Date: 07/2023
Type: Document
Sponsoring organization: Indian Health Service
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Addressing the Opioid Crisis: A Look at the Evolving Landscape of Federal OUD Treatment Policies
Provides an overview of five federal policies that impacted the provision of opioid use disorder (OUD) treatments during the COVID-19 pandemic. Covers regulations related to buprenorphine medication, methadone dispensing programs, overdose prevention and reversal methods, and leveraging Medicaid for pre- and post-release from prison OUD treatment services. Discusses how state laws may limit federal efforts.
Author(s): Heather Saunders, Nirmita Panchal
Date: 07/2023
Type: Document
Sponsoring organization: KFF
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Provides an overview of five federal policies that impacted the provision of opioid use disorder (OUD) treatments during the COVID-19 pandemic. Covers regulations related to buprenorphine medication, methadone dispensing programs, overdose prevention and reversal methods, and leveraging Medicaid for pre- and post-release from prison OUD treatment services. Discusses how state laws may limit federal efforts.
Author(s): Heather Saunders, Nirmita Panchal
Date: 07/2023
Type: Document
Sponsoring organization: KFF
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Changes in Buprenorphine Visits in Frontier and Remote Locations: Effects of the SARS-COV-2 Pandemic
Evaluated patient appointments offering buprenorphine prescriptions in the 55 weeks before and after the start of the COVID-19 pandemic to determine the impact of the pandemic and pandemic-era policies on buprenorphine access for frontier residents in the Great Plains region.
Author(s): Lisa M. McFadden
Citation: Drug and Alcohol Dependence Reports, 7, 100155
Date: 06/2023
Type: Document
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Evaluated patient appointments offering buprenorphine prescriptions in the 55 weeks before and after the start of the COVID-19 pandemic to determine the impact of the pandemic and pandemic-era policies on buprenorphine access for frontier residents in the Great Plains region.
Author(s): Lisa M. McFadden
Citation: Drug and Alcohol Dependence Reports, 7, 100155
Date: 06/2023
Type: Document
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Access to Medications for Opioid Use Disorder in Rural Versus Urban Veterans Health Administration Facilities
Explores rural veterans' access to medications for opioid use disorder (MOUD) via the Veterans Health Administration (VHA) system. Highlights VHA efforts to expand access to MOUD within VHA facilities and aims to identify access levels for rural veterans via the VA's Community Care program. Breaks down data by type of MOUD and by rural or urban location.
Author(s): Jessica J. Wyse, Sarah Shull, Stephan Lindner, et al.
Citation: Journal of General Internal Medicine, 38(8), 1871-1876
Date: 06/2023
Type: Document
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Explores rural veterans' access to medications for opioid use disorder (MOUD) via the Veterans Health Administration (VHA) system. Highlights VHA efforts to expand access to MOUD within VHA facilities and aims to identify access levels for rural veterans via the VA's Community Care program. Breaks down data by type of MOUD and by rural or urban location.
Author(s): Jessica J. Wyse, Sarah Shull, Stephan Lindner, et al.
Citation: Journal of General Internal Medicine, 38(8), 1871-1876
Date: 06/2023
Type: Document
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The Impacts of Opioid Addiction on the Rural Workforce
A recorded webinar that examines how the rural workforce has been impacted by opioid addiction. Discusses issues of healthcare access, poverty, mental health, and farmworker health, along with data on workforce impacts. Includes resources to support opioid recovery and examples of recovery efforts in specific regions, such as Appalachia.
Additional links: Executive Summary, Presentation, Transcript
Author(s): Kellie Kubena, Carol Wetuski, Lauren Wood, et al.
Date: 06/2023
Type: Video/Multimedia
Sponsoring organizations: Appalachian Regional Commission, First Tennessee Development District, Office of Workforce Investment (OWI), U.S. Department of Agriculture
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A recorded webinar that examines how the rural workforce has been impacted by opioid addiction. Discusses issues of healthcare access, poverty, mental health, and farmworker health, along with data on workforce impacts. Includes resources to support opioid recovery and examples of recovery efforts in specific regions, such as Appalachia.
Additional links: Executive Summary, Presentation, Transcript
Author(s): Kellie Kubena, Carol Wetuski, Lauren Wood, et al.
Date: 06/2023
Type: Video/Multimedia
Sponsoring organizations: Appalachian Regional Commission, First Tennessee Development District, Office of Workforce Investment (OWI), U.S. Department of Agriculture
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A Qualitative Exploration of Barriers and Facilitators to Drug Treatment Services among People Who Inject Drugs in West Virginia
Examines the ability of people who inject drugs (PWID) to access treatment options in rural West Virginia. Analyzes 2018 interviews with PWID regarding barriers and facilitators to treatment, such as dismissal from treatment services, need for comprehensive services and financial support, withdrawal symptoms, medications for opioid use disorder, and more.
Author(s): Abigail K. Winiker, Kristin E. Schneider, Rebecca Hamilton White, et al.
Citation: Harm Reduction Journal, 20, 69
Date: 06/2023
Type: Document
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Examines the ability of people who inject drugs (PWID) to access treatment options in rural West Virginia. Analyzes 2018 interviews with PWID regarding barriers and facilitators to treatment, such as dismissal from treatment services, need for comprehensive services and financial support, withdrawal symptoms, medications for opioid use disorder, and more.
Author(s): Abigail K. Winiker, Kristin E. Schneider, Rebecca Hamilton White, et al.
Citation: Harm Reduction Journal, 20, 69
Date: 06/2023
Type: Document
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Pain in the Nation: The Epidemics of Alcohol, Drug, and Suicide Deaths - Special Feature: Youth Mental Health and Well-Being
Presents the rates of drug, alcohol, and suicide deaths in the U.S. in 2021 and from 1999 to 2021. Discusses the effect of the COVID-19 pandemic on deaths of despair and the state of the ongoing opioid crisis. Includes a special feature focusing on youth mental health and well being. Highlights data on rural and urban communities.
Date: 05/2023
Type: Document
Sponsoring organization: Trust for America's Health
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Presents the rates of drug, alcohol, and suicide deaths in the U.S. in 2021 and from 1999 to 2021. Discusses the effect of the COVID-19 pandemic on deaths of despair and the state of the ongoing opioid crisis. Includes a special feature focusing on youth mental health and well being. Highlights data on rural and urban communities.
Date: 05/2023
Type: Document
Sponsoring organization: Trust for America's Health
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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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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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Medication for Opioid Use Disorder During Pregnancy — Maternal and Infant Network to Understand Outcomes Associated with Use of Medication for Opioid Use Disorder During Pregnancy (MAT-LINK), 2014–2021
Describes a surveillance network of seven clinical sites focused on the use of medication for opioid use disorder (MOUD) during pregnancy. Initial report is limited to selected demographic characteristics of pregnant persons overall and by MOUD treatment status, including data for urban and rural areas.
Author(s): Kathryn Miele, Shin Y. Kim, Rachelle Jones, et al.
Citation: MMWR Surveillance Summaries, 72(3), 1-14
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Describes a surveillance network of seven clinical sites focused on the use of medication for opioid use disorder (MOUD) during pregnancy. Initial report is limited to selected demographic characteristics of pregnant persons overall and by MOUD treatment status, including data for urban and rural areas.
Author(s): Kathryn Miele, Shin Y. Kim, Rachelle Jones, et al.
Citation: MMWR Surveillance Summaries, 72(3), 1-14
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Challenges and Solutions for Disaster Behavioral Health in Rural and Remote Communities
Describes the scope and diversity of rural and remote populations across the nation, highlighting sources of strength and struggle, including the effects of stigma, for rural Americans and rural healthcare providers. Explores potential approaches to disaster behavioral health in rural and remote areas, including governmental and policy approaches, community-based approaches, and telemedicine.
Date: 04/2023
Type: Document
Sponsoring organization: SAMHSA Disaster Technical Assistance Center
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Describes the scope and diversity of rural and remote populations across the nation, highlighting sources of strength and struggle, including the effects of stigma, for rural Americans and rural healthcare providers. Explores potential approaches to disaster behavioral health in rural and remote areas, including governmental and policy approaches, community-based approaches, and telemedicine.
Date: 04/2023
Type: Document
Sponsoring organization: SAMHSA Disaster Technical Assistance Center
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