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Rural Health
Resources by Topic: Prescription drug misuse

Crisis Services: Meeting Needs, Saving Lives
Presents the National Guidelines for Behavioral Health Crisis Care Best Practices Toolkit and a number of companion papers on crisis care. Toolkit highlights best practices for crisis care and the papers discuss a number of related topics, including homelessness, substance use, opioid-related deaths, and rural and frontier areas, among other issues.
Date: 08/2020
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Nonfatal Drug and Polydrug Overdoses Treated in Emergency Departments — 29 States, 2018–2019
Reports on changes in rates and proportions of suspected nonfatal drug and polydrug overdoses treated in the emergency department (ED) between 2018 and 2019, based on data from 29 states. Includes data for urban and rural counties on ED visits for opioids, cocaine, amphetamines, and benzodiazepines, as well as for opioids in combination with each of the other types of drugs.
Author(s): Stephen Liu, Lawrence Scholl, Brooke Hoots, Puja Seth
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(34), 1149-1155
Date: 08/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Addressing Opioid Use in Rural Communities: Examples from Critical Access Hospitals
Highlights strategies adopted by Critical Access Hospitals (CAHs) to combat opioid use in their communities. Describes lessons learned from the featured CAHs regarding the development and implementation of projects targeting opioid use. Identifies ways that State Flex Programs and State Offices of Rural Health can support the efforts of CAHs in addressing opioid use in their communities. Provides list of opioid-related resources for CAHs and State Flex Programs.
Author(s): John Gale, Sara Kahn-Troster, Karen Pearson, Nathan First
Date: 08/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Effective Community-Based Initiatives Are Needed to Curb the Opioid Crisis
Describes 6 community-research collaboratives to address the opioid crisis at the local level, including programs in St. Louis, MO, Olympia, WA, Ithaca, NY, and rural programs in Rio Arriba County, NM, western North Carolina, and tribal communities in the Midwest and the Northern Plains.
Author(s): Beth Connolly, Leslie Paulson
Date: 07/2020
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Integrating Responses to the Opioid Use Disorder and Infectious Disease Epidemics
Highlights the epidemic of infectious diseases co-occurring with opioid use disorder and the need for integrated treatment. Discusses barriers. such as workforce training, payment, and data sharing, among others. Includes suggestions for rural areas.
Author(s): Sandra A. Springer, Andrew P. Merluzzi, Carlos del Rio
Citation: JAMA, 324(1), 37-38
Date: 07/2020
Type: Document
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Social Determinants of Health and County Population Rates of Opioid-Related Inpatient Stays and Emergency Department Visits, 2016
Examines characteristics of U.S. counties, comparing counties with high and low rates of opioid-related inpatient stays and treat-and-release emergency department (ED) visits among patients 15 years and older. Includes data for metro, rural adjacent to metro, and rural remote counties, as well as by urban-rural location and poverty rate.
Author(s): Pamela L. Owens, Audrey J. Weiss, Marguerite L. Barrett, Lawrence D. Reid
Date: 06/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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National Hospital Care Survey Demonstration Projects: Opioid-Involved Emergency Department Visits, Hospitalizations, and Deaths
Demonstrates a method for linking three data sets to examine opioid-involved emergency department (ED) visits, hospitalizations, and mortality. Reported results are not nationally representative. Includes analysis of opioid-involved and nonopioid-involved ED-only visits for rural and urban areas.
Author(s): Merianne Rose Spencer, Lee Anne Flagg, Geoff Jackson, Carol DeFrances, Holly Hedegaard
Date: 06/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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CMS Roadmap: Strategy to Fight the Opioid Crisis
An overview of the efforts the Centers for Medicare and Medicaid Services is undertaking to address the opioid epidemic. Highlights a three-pronged approach focusing on prevention, treatment, and data utilization to target prevention and treatment activities.
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Virtually Possible: Using Telehealth to Bring Reproductive Health Care to Women with Opioid Use Disorder in Rural Maine
Describes a program implemented by a Maine family planning clinic, in which HIV counseling, contraception, and pregnancy testing and counseling were made available to women with opioid use disorder (OUD) through meetings with a community educator and through telehealth. Explores challenges in receiving OUD care in rural Maine and discusses findings.
Author(s): Terri-Ann Thompson, Katherine A. Ahrens, Leah Coplon
Citation: mHealth
Date: 05/2020
Type: Document
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Hospital Burden of Opioid-Related Inpatient Stays: Metropolitan and Rural Hospitals, 2016
Examines burden on hospitals of opioid-related hospitalizations for metropolitan, rural-adjacent to metro, and rural remote hospitals. Includes data by region. Provides detailed information by urban-rural location, including information on the distribution of opioid-related stays, bed size, and occupancy level.
Author(s): Pamela L. Owens, Audrey J. Weiss, Marguerite L. Barrett
Date: 05/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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