Rural Health
Resources by Topic: Prescription drug misuse
Telemedicine Increases Access to Buprenorphine Initiation During the COVID-19 Pandemic
Discusses the expanded access to buprenorphine prescription through telemedicine during COVID-19, comparing the experiences of two harm reduction primary care programs in a rural and urban region of New York. Discusses reduced barriers to treatment, particularly delays due to in-person evaluation requirements before to the pandemic, and innovations to opioid use disorder treatment made possible through telehealth.
Author(s): Linda Wang, Jeffrey Weiss, Elizabeth Bogel Ryan, et al.
Citation: Journal of Substance Abuse Treatment, 124, 108272
Date: 05/2021
Type: Document
view details
Discusses the expanded access to buprenorphine prescription through telemedicine during COVID-19, comparing the experiences of two harm reduction primary care programs in a rural and urban region of New York. Discusses reduced barriers to treatment, particularly delays due to in-person evaluation requirements before to the pandemic, and innovations to opioid use disorder treatment made possible through telehealth.
Author(s): Linda Wang, Jeffrey Weiss, Elizabeth Bogel Ryan, et al.
Citation: Journal of Substance Abuse Treatment, 124, 108272
Date: 05/2021
Type: Document
view details
Understanding Declining Rates of Drug Overdose Mortality in Eastern Kentucky
Identifies potential policies and strategies that might have contributed to the decline in drug overdose mortality in the 5-year periods from 2008-2012 to 2013-2017 in 8 counties in eastern Kentucky. Offers recommendations for approaches that could be implemented in other communities. Includes statistics on overdose mortality in 8 eastern Kentucky counties; a county-level map showing changes in rates of overdose mortality in Pennsylvania, Kentucky, West Virginia, Tennessee, North Carolina, and Ohio; and a graph showing rates of overdose mortality in the Appalachian counties of Kentucky, Ohio, and West Virginia from 1999-2019.
Date: 04/2021
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Kentucky Center of Excellence in Rural Health
view details
Identifies potential policies and strategies that might have contributed to the decline in drug overdose mortality in the 5-year periods from 2008-2012 to 2013-2017 in 8 counties in eastern Kentucky. Offers recommendations for approaches that could be implemented in other communities. Includes statistics on overdose mortality in 8 eastern Kentucky counties; a county-level map showing changes in rates of overdose mortality in Pennsylvania, Kentucky, West Virginia, Tennessee, North Carolina, and Ohio; and a graph showing rates of overdose mortality in the Appalachian counties of Kentucky, Ohio, and West Virginia from 1999-2019.
Date: 04/2021
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Kentucky Center of Excellence in Rural Health
view details
HIV and Hepatitis C in Rural Areas: Prevalence, Service Availability, and Challenges
Webinar recording discusses the prevalence of HIV and maternal hepatitis C in rural communities. Compares infection rates in rural versus urban areas and highlights changes over time. Makes recommendations regarding testing, treatment, and harm reduction services.
Additional links: Presentation Slides, Video Recording, Webinar Transcript
Date: 04/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
view details
Webinar recording discusses the prevalence of HIV and maternal hepatitis C in rural communities. Compares infection rates in rural versus urban areas and highlights changes over time. Makes recommendations regarding testing, treatment, and harm reduction services.
Additional links: Presentation Slides, Video Recording, Webinar Transcript
Date: 04/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
view details
Rural and Urban Experiences with EMS Overdose Treatment
Results of a survey of 90 urban and rural emergency medical service (EMS) providers practicing in Indiana during the period from November 2020 to March 2021, to determine how many training hours they receive and how comfortable they are with treating opioid overdoses and general drug overdoses. Features survey responses with breakdowns by urban and rural location. Poster presented at the 2021 RTT Collaborative Annual Meeting.
Author(s): Brycen Ratcliffe, Robin Danek, Ellen Ireland, Eric Reyes
Date: 04/2021
Type: Document
Sponsoring organization: Indiana University School of Medicine
view details
Results of a survey of 90 urban and rural emergency medical service (EMS) providers practicing in Indiana during the period from November 2020 to March 2021, to determine how many training hours they receive and how comfortable they are with treating opioid overdoses and general drug overdoses. Features survey responses with breakdowns by urban and rural location. Poster presented at the 2021 RTT Collaborative Annual Meeting.
Author(s): Brycen Ratcliffe, Robin Danek, Ellen Ireland, Eric Reyes
Date: 04/2021
Type: Document
Sponsoring organization: Indiana University School of Medicine
view details
Guide for Future Directions for the Addiction and OUD Treatment Ecosystem
Details strategies for addressing the opioid use epidemic and improving the current addiction treatment ecosystem. Breaks down the strategies by capacity, competency, consistency, and compensation. Discusses some of the barriers to treating opioid use disorder in rural areas.
Author(s): R. Corey Waller, Kelly J. Clark, Alex Woodruff, et al.
Date: 04/2021
Type: Document
Sponsoring organization: National Academy of Medicine
view details
Details strategies for addressing the opioid use epidemic and improving the current addiction treatment ecosystem. Breaks down the strategies by capacity, competency, consistency, and compensation. Discusses some of the barriers to treating opioid use disorder in rural areas.
Author(s): R. Corey Waller, Kelly J. Clark, Alex Woodruff, et al.
Date: 04/2021
Type: Document
Sponsoring organization: National Academy of Medicine
view details
The Opioid Epidemic: A Geography in Two Phases
Examines population and geographic data on 2 phases of the U.S. opioid epidemic. Examines the association between overdose deaths and chronic pain, physical disability rates, and economic hardship. Discusses the shift from overdose mortality associated with prescription opioids to illicit and synthetic opioids in the early 2010s, including in rural areas and the Northeastern U.S.
Additional links: Report Summary
Author(s): David A. McGranahan, Timothy S. Parker
Date: 04/2021
Type: Document
Sponsoring organization: USDA Economic Research Service
view details
Examines population and geographic data on 2 phases of the U.S. opioid epidemic. Examines the association between overdose deaths and chronic pain, physical disability rates, and economic hardship. Discusses the shift from overdose mortality associated with prescription opioids to illicit and synthetic opioids in the early 2010s, including in rural areas and the Northeastern U.S.
Additional links: Report Summary
Author(s): David A. McGranahan, Timothy S. Parker
Date: 04/2021
Type: Document
Sponsoring organization: USDA Economic Research Service
view details
Addressing Opioid-Related Outcomes Among Individuals With Co-Occurring Behavioral Health Conditions: An Environmental Scan of Quality Measures
Presents the results of an environmental scan of healthcare quality measures relevant to addressing polysubstance use among individuals with co-occurring behavioral health conditions. Includes information on access to buprenorphine providers in rural communities.
Date: 04/2021
Type: Document
Sponsoring organization: National Quality Forum
view details
Presents the results of an environmental scan of healthcare quality measures relevant to addressing polysubstance use among individuals with co-occurring behavioral health conditions. Includes information on access to buprenorphine providers in rural communities.
Date: 04/2021
Type: Document
Sponsoring organization: National Quality Forum
view details
Expanding Access to Methadone Treatment in Ohio Through Federally Qualified Health Centers and a Chain Pharmacy: A Geospatial Modeling Analysis
Examines the provision of methadone at opioid treatment programs (OTP) in Ohio. Compares how well existing OTPs meet the need for opioid use disorder treatment by urban-rural classification. Explores how expanding methadone administration to Federally Qualified Health Centers (FQHCs) could expand access to OUD treatment in urban and rural areas.
Author(s): Suzan Iloglu, Paul J. Joudrey, Emily A. Wong, Thomas A. Thornhill, Gregg Gonsalves
Citation: Drug and Alcohol Dependence, 220, 108534
Date: 03/2021
Type: Document
view details
Examines the provision of methadone at opioid treatment programs (OTP) in Ohio. Compares how well existing OTPs meet the need for opioid use disorder treatment by urban-rural classification. Explores how expanding methadone administration to Federally Qualified Health Centers (FQHCs) could expand access to OUD treatment in urban and rural areas.
Author(s): Suzan Iloglu, Paul J. Joudrey, Emily A. Wong, Thomas A. Thornhill, Gregg Gonsalves
Citation: Drug and Alcohol Dependence, 220, 108534
Date: 03/2021
Type: Document
view details
An Examination of Telehealth Policy Impacts on Initial Rural Opioid Use Disorder Treatment Patterns During the COVID‐19 Pandemic
Explores changes in the patterns of medication for opioid use disorder (MOUD) in western North Carolina during the COVID-19 pandemic. Examines the impact of telehealth policy changes during the pandemic on the patient population seen for MOUD, access to MOUD services for rural patients, overall MOUD clinic volume, and changes to the provision of MOUD.
Author(s): Phillip M. Hughes, Genevieve Verrastro, Carriedelle Wilson Fusco, Courtenay Gilmore Wilson, Bayla Ostrach
Citation: Journal of Rural Health, 37(3), 467-472
Date: 03/2021
Type: Document
view details
Explores changes in the patterns of medication for opioid use disorder (MOUD) in western North Carolina during the COVID-19 pandemic. Examines the impact of telehealth policy changes during the pandemic on the patient population seen for MOUD, access to MOUD services for rural patients, overall MOUD clinic volume, and changes to the provision of MOUD.
Author(s): Phillip M. Hughes, Genevieve Verrastro, Carriedelle Wilson Fusco, Courtenay Gilmore Wilson, Bayla Ostrach
Citation: Journal of Rural Health, 37(3), 467-472
Date: 03/2021
Type: Document
view details
Urban–Rural Differences in Drug Overdose Death Rates, 1999–2019
Examines age-adjusted drug overdose deaths in urban and rural counties. Includes urban-rural data on overdose deaths overall and for selected types of opioids and stimulants from 1999 through 2019. Identifies states with higher overdose deaths in rural counties, higher rates in urban counties, and states with no significant difference between rural and urban overdose death rates.
Author(s): Holly Hedegaard, Merianne Rose Spencer
Date: 03/2021
Type: Document
Sponsoring organization: National Center for Health Statistics
view details
Examines age-adjusted drug overdose deaths in urban and rural counties. Includes urban-rural data on overdose deaths overall and for selected types of opioids and stimulants from 1999 through 2019. Identifies states with higher overdose deaths in rural counties, higher rates in urban counties, and states with no significant difference between rural and urban overdose death rates.
Author(s): Holly Hedegaard, Merianne Rose Spencer
Date: 03/2021
Type: Document
Sponsoring organization: National Center for Health Statistics
view details