Rural Health
Resources by Topic: Prescription drug misuse
Opioids in Appalachia: The Role of Counties in Reversing a Regional Epidemic
Details the state of the opioid epidemic in Appalachia and presents recommendations to help county leaders respond to the opioid crisis. Features individual county case studies highlighting the challenges and strategies in addressing the opioid crisis.
Additional links: Executive Summary
Date: 05/2019
Type: Document
Sponsoring organization: National Association of Counties
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Details the state of the opioid epidemic in Appalachia and presents recommendations to help county leaders respond to the opioid crisis. Features individual county case studies highlighting the challenges and strategies in addressing the opioid crisis.
Additional links: Executive Summary
Date: 05/2019
Type: Document
Sponsoring organization: National Association of Counties
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An Update on the President's Commission on Combating Drug Addiction and the Opioid Crisis: One Year Later
Report details a one year update to the Trump Administration President's Commission on Combating Drug Addiction and the Opioid Crisis. Highlighted the commission's accomplishments and examined its initial objectives. Includes rural references throughout.
Date: 05/2019
Type: Document
Sponsoring organization: The White House
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Report details a one year update to the Trump Administration President's Commission on Combating Drug Addiction and the Opioid Crisis. Highlighted the commission's accomplishments and examined its initial objectives. Includes rural references throughout.
Date: 05/2019
Type: Document
Sponsoring organization: The White House
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Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic: Proceedings of a Workshop
Reports on a workshop with multiple stakeholders discussing pain management in the context of the opioid misuse epidemic. Reviews the opioid epidemic, how responses to it have affected people with serious illness and pain, the pain management needs of people with substance use disorder, policy responses, and next steps. Includes a few examples from rural areas and addresses some challenges specific to rural.
Additional links: Read Online
Date: 05/2019
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Reports on a workshop with multiple stakeholders discussing pain management in the context of the opioid misuse epidemic. Reviews the opioid epidemic, how responses to it have affected people with serious illness and pain, the pain management needs of people with substance use disorder, policy responses, and next steps. Includes a few examples from rural areas and addresses some challenges specific to rural.
Additional links: Read Online
Date: 05/2019
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Rural‐Urban Trends in Opioid Overdose Discharges in Missouri Emergency Departments, 2012‐2016
Study of opioid overdose cases treated by Missouri emergency departments from 2012-2016 that compares rural and urban rates. Analyzes billing data from the state's Patient Abstract System (PAS), including population information and type of opiate involved in the overdose over the data period. Discusses the role of non-heroin opioids in overdose rates and implications of observed trends for emergency departments.
Author(s): Whitney Coffey, Andrew Hunter, Evan Mobley, Alana Vivolo-Kantor
Citation: Journal of Rural Health, 36(2), 177-186
Date: 04/2019
Type: Document
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Study of opioid overdose cases treated by Missouri emergency departments from 2012-2016 that compares rural and urban rates. Analyzes billing data from the state's Patient Abstract System (PAS), including population information and type of opiate involved in the overdose over the data period. Discusses the role of non-heroin opioids in overdose rates and implications of observed trends for emergency departments.
Author(s): Whitney Coffey, Andrew Hunter, Evan Mobley, Alana Vivolo-Kantor
Citation: Journal of Rural Health, 36(2), 177-186
Date: 04/2019
Type: Document
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Community Pharmacies as Access Points for Addiction Treatment
Investigates the distribution of community pharmacies in rural and urban counties of Wisconsin and the connection it has on county-level opioid-related overdose death rates and the number of treatment facilities.
Author(s): Kevin A. Look, Mercedes Kile, Katie Morgan, Andrew Roberts
Citation: Research in Social & Administrative Pharmacy, 15(4), 404-409
Date: 04/2019
Type: Document
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Investigates the distribution of community pharmacies in rural and urban counties of Wisconsin and the connection it has on county-level opioid-related overdose death rates and the number of treatment facilities.
Author(s): Kevin A. Look, Mercedes Kile, Katie Morgan, Andrew Roberts
Citation: Research in Social & Administrative Pharmacy, 15(4), 404-409
Date: 04/2019
Type: Document
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Buprenorphine Prescribing by Nurse Practitioners, Physician Assistants and Physicians After CARA 2016
Investigates the differences in buprenorphine prescribing patterns among nurse practitioners (NPs), physician assistants (PAs) and physicians in Medicaid following implementation of the Comprehensive Addiction and Recovery Act (CARA) addressing opioid use disorder (OUD). Retail pharmacy claims from July 2017 to June 2018 were analyzed to identify prescriber type, number of patients, payer type, rural and urban differences, and Medicaid trends for FDA-approved buprenorphine drugs for the treatment of OUD.
Author(s): Rekha Varghese, Karin Johnson, Bo Feng, et al.
Date: 04/2019
Type: Document
Sponsoring organizations: IMPAQ International, LLC, Medicaid and CHIP Payment and Access Commission
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Investigates the differences in buprenorphine prescribing patterns among nurse practitioners (NPs), physician assistants (PAs) and physicians in Medicaid following implementation of the Comprehensive Addiction and Recovery Act (CARA) addressing opioid use disorder (OUD). Retail pharmacy claims from July 2017 to June 2018 were analyzed to identify prescriber type, number of patients, payer type, rural and urban differences, and Medicaid trends for FDA-approved buprenorphine drugs for the treatment of OUD.
Author(s): Rekha Varghese, Karin Johnson, Bo Feng, et al.
Date: 04/2019
Type: Document
Sponsoring organizations: IMPAQ International, LLC, Medicaid and CHIP Payment and Access Commission
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Opioid Addiction: Meeting the Need for Treatment in Michigan
Analyzes survey data from village, township, city, and county leaders throughout Michigan to identify drug treatment needs across the state. Discusses access issues related to treatment programs that are particularly present in rural areas and information on providing local treatment programs. Offers policy implications and recommendations to improve treatment options.
Author(s): Amy Bohnert, Jennifer Erb-Downward, Thomas Ivacko
Date: 04/2019
Type: Document
Sponsoring organization: Poverty Solutions at the University of Michigan
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Analyzes survey data from village, township, city, and county leaders throughout Michigan to identify drug treatment needs across the state. Discusses access issues related to treatment programs that are particularly present in rural areas and information on providing local treatment programs. Offers policy implications and recommendations to improve treatment options.
Author(s): Amy Bohnert, Jennifer Erb-Downward, Thomas Ivacko
Date: 04/2019
Type: Document
Sponsoring organization: Poverty Solutions at the University of Michigan
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Health Disparities Related to Opioid Misuse in Appalachia: Practical Strategies and Recommendations for Communities
Offers statistics on opioid misuse and overdose deaths in rural Appalachian communities. Highlights strategies and resources to address opioid issues. Covers recommendations to assist policymakers, funders, and leaders working to reduce opioid related health disparities.
Author(s): Kate Beatty, Nathan Hale, Michael Meit, et al.
Date: 04/2019
Type: Document
Sponsoring organization: Appalachian Regional Commission
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Offers statistics on opioid misuse and overdose deaths in rural Appalachian communities. Highlights strategies and resources to address opioid issues. Covers recommendations to assist policymakers, funders, and leaders working to reduce opioid related health disparities.
Author(s): Kate Beatty, Nathan Hale, Michael Meit, et al.
Date: 04/2019
Type: Document
Sponsoring organization: Appalachian Regional Commission
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The Opioid Prescribing Rate and Grandparents Raising Grandchildren: State and County Level Analysis
Study highlights the relationship between grandparents raising children and the opioid crisis. Compares American Community Survey data from 2012-2016 with CDC 2016 Opioid Prescribing data. The State and County Level Analysis Poster presents a summary of the study, as well as state and county-level data and maps.
Additional links: State and County Level Analysis Poster
Author(s): Lydia Anderson
Date: 04/2019
Type: Document
Sponsoring organization: U.S. Census Bureau
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Study highlights the relationship between grandparents raising children and the opioid crisis. Compares American Community Survey data from 2012-2016 with CDC 2016 Opioid Prescribing data. The State and County Level Analysis Poster presents a summary of the study, as well as state and county-level data and maps.
Additional links: State and County Level Analysis Poster
Author(s): Lydia Anderson
Date: 04/2019
Type: Document
Sponsoring organization: U.S. Census Bureau
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Wild . . . But Not So Wonderful - Responding to Injection Drug Use in West Virginia
Discusses the progress of the opioid crisis, including co-occurring diseases, in West Virginia. Explores barriers and limitations to treatment, stigma, and harm reduction programs. Highlights considerations for policymakers.
Author(s): Robin A. Pollini
Citation: American Journal of Public Health, 109(3), 354–355
Date: 03/2019
Type: Document
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Discusses the progress of the opioid crisis, including co-occurring diseases, in West Virginia. Explores barriers and limitations to treatment, stigma, and harm reduction programs. Highlights considerations for policymakers.
Author(s): Robin A. Pollini
Citation: American Journal of Public Health, 109(3), 354–355
Date: 03/2019
Type: Document
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