Rural Health
Resources by Topic: Prescription drug misuse
Community-Based Medication Disposal Pilot Initiative in Southwest Tribal Communities
Describes a public health pilot project testing a community-based prescription drug disposal system in tribal communities to increase awareness about the dangers of prescription drug accumulation in the home resulting in misuse and abuse of prescription drugs, and to improve drug disposal practices. Project provided drug deactivation bags for in-home use, and medication drop boxes were available in 29 healthcare facilities in mostly rural areas of Arizona, Minnesota, Nevada and Oklahoma.
Author(s): Isaac Ampadu, Robert Morones, Andrea Tsatoke, et al.
Citation: Injury Epidemiology, 8(Suppl 2), 67
Date: 12/2021
Type: Document
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Describes a public health pilot project testing a community-based prescription drug disposal system in tribal communities to increase awareness about the dangers of prescription drug accumulation in the home resulting in misuse and abuse of prescription drugs, and to improve drug disposal practices. Project provided drug deactivation bags for in-home use, and medication drop boxes were available in 29 healthcare facilities in mostly rural areas of Arizona, Minnesota, Nevada and Oklahoma.
Author(s): Isaac Ampadu, Robert Morones, Andrea Tsatoke, et al.
Citation: Injury Epidemiology, 8(Suppl 2), 67
Date: 12/2021
Type: Document
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State Policy Changes Could Increase Access to Opioid Treatment via Telehealth
Issue brief discussing barriers to opioid use disorder (OUD) treatment via telehealth and policy recommendations to support telehealth, including reimbursement and regulatory policies. Discusses issues of broadband access, infrastructure, and data collection in relation to telehealth implementation.
Date: 12/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Issue brief discussing barriers to opioid use disorder (OUD) treatment via telehealth and policy recommendations to support telehealth, including reimbursement and regulatory policies. Discusses issues of broadband access, infrastructure, and data collection in relation to telehealth implementation.
Date: 12/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Opioid Use Disorder: Opportunities to Improve Assessments of State Opioid Response Grant Program
Provides an overview of the Substance Abuse and Mental Health Services Administration (SAMHSA) State Opioid Response (SOR) grant program and examines how SAMHSA assesses the program. Offers recommendations to SAMHSA to identify potential limitations in its analyses and provide a more comprehensive assessment of the program to identify opportunities for improvement. Includes SOR grant funding awards by state for fiscal years 2020 and 2021.
Additional links: Full Report
Date: 12/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Provides an overview of the Substance Abuse and Mental Health Services Administration (SAMHSA) State Opioid Response (SOR) grant program and examines how SAMHSA assesses the program. Offers recommendations to SAMHSA to identify potential limitations in its analyses and provide a more comprehensive assessment of the program to identify opportunities for improvement. Includes SOR grant funding awards by state for fiscal years 2020 and 2021.
Additional links: Full Report
Date: 12/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Rural Opioid Treatment Program Patient Perspectives on Take-Home Methadone Policy Changes During COVID-19: A Qualitative Thematic Analysis
Study examining patient perspectives following policy changes in take-home methadone treatment for opioid use disorder (OUD), based on qualitative interviews with 46 patients from 3 rural opioid treatment programs in Oregon. Highlights main themes related to adapting to the changing policies during the COVID-19 pandemic, the challenges and benefits of at-home dosing, and future policy and procedural changes.
Author(s): Ximena A. Levander, Kim A. Hoffman, John W. McIlveen, et al.
Citation: Addiction Science & Clinical Practice, 16, 72
Date: 12/2021
Type: Document
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Study examining patient perspectives following policy changes in take-home methadone treatment for opioid use disorder (OUD), based on qualitative interviews with 46 patients from 3 rural opioid treatment programs in Oregon. Highlights main themes related to adapting to the changing policies during the COVID-19 pandemic, the challenges and benefits of at-home dosing, and future policy and procedural changes.
Author(s): Ximena A. Levander, Kim A. Hoffman, John W. McIlveen, et al.
Citation: Addiction Science & Clinical Practice, 16, 72
Date: 12/2021
Type: Document
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Practical Tools for Prescribing and Promoting Buprenorphine in Primary Care Settings
Offers evidence-based information to support primary care providers in prescribing buprenorphine to treat opioid use disorder (OUD). Addresses strategies and considerations for primary care providers and practices looking to implement the treatment, including the phases of care, training and education, and payment and pharmacy considerations. Chapter 2.7 covers buprenorphine prescribing in rural settings.
Date: 12/2021
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Offers evidence-based information to support primary care providers in prescribing buprenorphine to treat opioid use disorder (OUD). Addresses strategies and considerations for primary care providers and practices looking to implement the treatment, including the phases of care, training and education, and payment and pharmacy considerations. Chapter 2.7 covers buprenorphine prescribing in rural settings.
Date: 12/2021
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Robustness of Estimated Access to Opioid Use Disorder Treatment Providers in Rural Vs. Urban Areas of the United States
Estimates level of access to opioid use disorder treatment at 31,053 locations in July 2020 for rural and urban opioid users by comparing drive time and availability of treatment. Discusses treatment disparities between rural and urban opioid users with particular focus on infrastructure such as transportation and broadband, hospital closures, and health insurance status.
Author(s): Matthew V. Kiang, Michael L. Barnett, Sarah E. Wakeman, Keith Humphreys, Alexander C. Tsai
Citation: Drug and Alcohol Dependence, 228, 109081
Date: 11/2021
Type: Document
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Estimates level of access to opioid use disorder treatment at 31,053 locations in July 2020 for rural and urban opioid users by comparing drive time and availability of treatment. Discusses treatment disparities between rural and urban opioid users with particular focus on infrastructure such as transportation and broadband, hospital closures, and health insurance status.
Author(s): Matthew V. Kiang, Michael L. Barnett, Sarah E. Wakeman, Keith Humphreys, Alexander C. Tsai
Citation: Drug and Alcohol Dependence, 228, 109081
Date: 11/2021
Type: Document
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Traditional Cigarette and Poly-Tobacco Use Are Associated with Medical Opioid Use in Rural Areas of the US
Examines tobacco use and medical opioid use for rural populations based on 2019 National Health Interview Survey data. Describes the association between cigarette use and odds of medical opioid use, noting the potential impacts of tobacco cessation interventions on reducing opioid use.
Author(s): Mariaelena Gonzalez, Ashley Sanders-Jackson
Citation: International Journal of Environmental Research and Public Health, 18(22), 11864
Date: 11/2021
Type: Document
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Examines tobacco use and medical opioid use for rural populations based on 2019 National Health Interview Survey data. Describes the association between cigarette use and odds of medical opioid use, noting the potential impacts of tobacco cessation interventions on reducing opioid use.
Author(s): Mariaelena Gonzalez, Ashley Sanders-Jackson
Citation: International Journal of Environmental Research and Public Health, 18(22), 11864
Date: 11/2021
Type: Document
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Assessment of State and Federal Health Policies for Opioid Use Disorder Treatment During the COVID-19 Pandemic and Beyond
Examines state-level policy data from government and nonprofit agencies related to treatment access and treatment retention for patients with Opioid Use Disorder (OUD) during the COVID-19 pandemic. Describes policy changes affecting telehealth coverage, delivery, and payment; issues of licensing and security; and the initiation and dispensing of treatment medications.
Author(s): Seema Chosky Pessar, Anne Boustead, Yimin Ge, Rosanna Smart, Rosalie Liccardo Pacula
Citation: JAMA Health Forum, 2(11), e213833
Date: 11/2021
Type: Document
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Examines state-level policy data from government and nonprofit agencies related to treatment access and treatment retention for patients with Opioid Use Disorder (OUD) during the COVID-19 pandemic. Describes policy changes affecting telehealth coverage, delivery, and payment; issues of licensing and security; and the initiation and dispensing of treatment medications.
Author(s): Seema Chosky Pessar, Anne Boustead, Yimin Ge, Rosanna Smart, Rosalie Liccardo Pacula
Citation: JAMA Health Forum, 2(11), e213833
Date: 11/2021
Type: Document
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COVID-19 and the Rural Opioid Epidemic: Recommendations to Improve Health in Illinois
Examines the rural opioid epidemic in Illinois and offers policy recommendations to increase access to Medications for Opioid Use Disorder (MOUD) centers, engaging populations involved with the criminal justice system, and expanding harm reduction services. Offers data on state opioid fatality rates with rural and urban comparisons and monthly mortality rates based on state Department of Public Health data. Discusses the impact of the COVID-19 pandemic on the opioid epidemic.
Date: 11/2021
Type: Document
Sponsoring organizations: SIU Medicine Center for Rural Health and Social Service Development, SIU Paul Simon Public Policy Institute, Southern Illinois University Medicine Department of Population Science and Policy, University of Illinois Chicago School of Public Health
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Examines the rural opioid epidemic in Illinois and offers policy recommendations to increase access to Medications for Opioid Use Disorder (MOUD) centers, engaging populations involved with the criminal justice system, and expanding harm reduction services. Offers data on state opioid fatality rates with rural and urban comparisons and monthly mortality rates based on state Department of Public Health data. Discusses the impact of the COVID-19 pandemic on the opioid epidemic.
Date: 11/2021
Type: Document
Sponsoring organizations: SIU Medicine Center for Rural Health and Social Service Development, SIU Paul Simon Public Policy Institute, Southern Illinois University Medicine Department of Population Science and Policy, University of Illinois Chicago School of Public Health
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Grantee Spotlight: Building Capacity for Tribal Health Providers to Deliver OUD Treatment in Rural Alaska
Profile features the Alaska Native Tribal Health Consortium and discusses its work supporting providers and organizations who provide treatment for opioid use disorder (OUD) in tribal communities in Alaska. Highlights some of the barriers to OUD treatment in rural Alaska and the methods used to overcome them.
Date: 11/2021
Type: Document
Sponsoring organizations: Alaska Native Tribal Health Consortium, Foundation for Opioid Response Efforts (FORE)
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Profile features the Alaska Native Tribal Health Consortium and discusses its work supporting providers and organizations who provide treatment for opioid use disorder (OUD) in tribal communities in Alaska. Highlights some of the barriers to OUD treatment in rural Alaska and the methods used to overcome them.
Date: 11/2021
Type: Document
Sponsoring organizations: Alaska Native Tribal Health Consortium, Foundation for Opioid Response Efforts (FORE)
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