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Rural Health
Resources by Topic: Prescription drug misuse

2018-2021 Rural Opioid Technical Assistance (ROTA) Grant Overview
Highlights Rural Opioid Technical Assistance grantee projects between 2018 and 2021. Projects address topics such as mental health, opioid use prevention, stigma, youth, social determinants of health, culturally competent programming, trauma informed care training, partnership building, and more.
Date: 11/2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report of the (Pennsylvania) Opioid Abuse Child Impact Task Force: Act 2 of 2022
Identifies strategies to mitigate the suffering of Pennsylvania infants and children affected by the opioid epidemic and alcohol abuse. Offers 13 actionable recommendations for consideration by the General Assembly and governor. Mentions rural throughout, and includes county-level maps showing higher rates of opioid use disorder and its consequences in Pennsylvania rural counties.
Author(s): Glenn J. Pasewicz, Allison N. Kobzowicz, Daniel Nguyen, et al.
Date: 11/2022
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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2022 Rural-Urban Disparities in Health Care in Medicare
Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2021, with breakdowns by race and ethnicity. Focuses on patient experience and clinical care measures, including screening for and management of health conditions and medication-related issues.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Path to Coordinated Federal Leadership to Strengthen Primary Health Care
Discusses the potential of a Secretary's Council on Primary Care within the U.S. Department of Health and Human Services. Describes primary care's role in addressing policy challenges related to health equity, payment, workforce training, pandemic recovery and resilience, the opioid crisis, and mental health. Offers recommendations to include and strengthen high-quality primary care as part of a long-term vision of a high-value healthcare system. Includes rural references throughout.
Author(s): Robert L. Phillips Jr., Christopher Koller, Alice Hm Chen
Date: 11/2022
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Opioid Abuse among Rural Adults
Examines the impact of the opioid abuse epidemic among rural adults in 2022 and changes since 2017. Covers rural access to mental health treatment, how comfortable rural adults with opioid addiction are discussing their concerns with others, perceptions of opioid abuse and its causes, and potential solutions to the opioid crisis.
Date: 10/2022
Type: Document
Sponsoring organization: American Farm Bureau Federation
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Use of and Retention on Video, Telephone, and In-Person Buprenorphine Treatment for Opioid Use Disorder During the COVID-19 Pandemic
Examines modality of treatment delivery for patients with opioid use disorder (OUD) and how various modalities are associated with 90-day patient retention. Analyzes 17,182 Veterans Health Administration (VHA) patients who received buprenorphine for OUD treatment from March 2020 to March 2021 by video, telephone, in-person care, or a combination of the modalities. Includes data broken down by age, sex, race/ethnicity, VHA eligibility, housing status, substance use, mental health, comorbidities, and rurality, including urban, large rural, small/isolated rural, and unknown location.
Author(s): Madeline C. Frost, Lan Zhang, H. Myra Kim, Lewei (Allison) Lin
Citation: JAMA Network Open, 5(10), e2236298
Date: 10/2022
Type: Document
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Wisconsin's State Opioid Response 2 Grant Program and Client Overview
Analyzes data provided by clients who completed State Opioid Response (SOR-2) interviews from September 2020 through July 2022 and engaged with the grant's mission to expand treatment and improve access to opioid and substance use disorder (SUD) treatment. Reports on grant activities including implementation and expansion of opioid treatment, opiate treatment centers (OTC), opioid treatment services (OTS), emergency department (ED) induction/mobile unit, and unmet treatment needs, with county-level data provided.
Date: 09/2022
Type: Document
Sponsoring organization: University of Wisconsin Population Health Institute
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Impacts of the COVID-19 Pandemic on a Rural Opioid Support Services Program
Study examining the impacts of the early stages of the COVID-19 pandemic on a rural, nonprofit opioid use disorder (OUD) system support service program located in eastern Kentucky. Describes findings from interviews conducted in early fall 2020 discussing changes to daily life, service access and provision, and financial impacts.
Author(s): Jayme E. Walters, Aubrey E. Jones, Aaron R. Brown, Dorothy Wallis
Citation: International Journal of Environmental Research and Public Health, 19(8), 11164
Date: 09/2022
Type: Document
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Opioid-Related Outcomes Among Individuals with Co-Occurring Behavioral Health Conditions
Provides an overview of a quality measurement framework to improve the prevention and monitoring of opioid-related overdoses and mortality among individuals with co-occurring behavioral health conditions. Identifies existing measures, measure concepts, and recommendations to serve as a starting point for quality measurement. Highlights three essential domains for measurement: equitable access, clinical interventions, and integrated and comprehensive care for concurrent behavioral health conditions.
Date: 09/2022
Type: Document
Sponsoring organization: National Quality Forum
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Availability of Substance Use Disorder Treatment in Minoritized Racial/Ethnic Group Areas
Explores the availability of substance use disorder treatment facilities and providers nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Provides data on the straight-line distance to the nearest opioid treatment facility that offers methadone, nearest substance use disorder treatment facility that does not offer methadone, and closest buprenorphine provider by rurality in minoritized and non-minoritized ZCTA.
Author(s): Sophia N. D. Negaro, Gabriel A. Benavidez, Christina M. Andrews, et al.
Date: 09/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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