Rural Health
Resources by Topic: Stigma
Overdose Prevention Policy Considerations: A Policy Playbook for State and Territorial Health Officials and Agencies
Provides an overview of policy considerations related to overdose prevention, with a focus on health equity and stigma reduction, community distribution, drug checking equipment, syringe service programs, and substance use support peer programs. Includes case examples, strategies for overdose prevention interventions, and considerations for rural and frontier areas.
Author(s): Victoria Pless, Kaela Hurd, Kayley Humm, Arieana Love
Date: 01/2024
Sponsoring organization: Association of State and Territorial Health Officials
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Provides an overview of policy considerations related to overdose prevention, with a focus on health equity and stigma reduction, community distribution, drug checking equipment, syringe service programs, and substance use support peer programs. Includes case examples, strategies for overdose prevention interventions, and considerations for rural and frontier areas.
Author(s): Victoria Pless, Kaela Hurd, Kayley Humm, Arieana Love
Date: 01/2024
Sponsoring organization: Association of State and Territorial Health Officials
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The Dialogue: Rural and Remote Disaster Behavioral Health
Journal issue discusses the behavioral health needs and challenges during disasters in rural and remote communities. Highlights the mental health challenges that co-occur with disasters such as extreme heat, floods, droughts and other disasters in rural communities and details strategies for addressing them.
Citation: The Dialogue, 19(4)
Date: 2024
Sponsoring organization: SAMHSA Disaster Technical Assistance Center
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Journal issue discusses the behavioral health needs and challenges during disasters in rural and remote communities. Highlights the mental health challenges that co-occur with disasters such as extreme heat, floods, droughts and other disasters in rural communities and details strategies for addressing them.
Citation: The Dialogue, 19(4)
Date: 2024
Sponsoring organization: SAMHSA Disaster Technical Assistance Center
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"I Don't Think That a Medication Is Going to Help Someone Long-Term Stay off Opioids": Treatment and Recovery Beliefs of Rural Vermont Family Members of People with Opioid Use Disorder
Examines beliefs related to opioid use disorder (OUD) treatment and recovery from the perspective of the family members of people with OUD. Analyzes interview data from 20 rural Vermont family members and discusses themes such as medication for OUD (MOUD), OUD treatment and mental health services, patient readiness for OUD treatment, and stigma.
Author(s): Catherine E. Peasley-Miklus, Julia G. Shaw, Katie Rosingana, et al.
Citation: Journal of Rural Health, 40(4), 681-688
Date: 2024
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Examines beliefs related to opioid use disorder (OUD) treatment and recovery from the perspective of the family members of people with OUD. Analyzes interview data from 20 rural Vermont family members and discusses themes such as medication for OUD (MOUD), OUD treatment and mental health services, patient readiness for OUD treatment, and stigma.
Author(s): Catherine E. Peasley-Miklus, Julia G. Shaw, Katie Rosingana, et al.
Citation: Journal of Rural Health, 40(4), 681-688
Date: 2024
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The Task Force on Maternal Mental Health's Report to Congress
A report from the U.S. Department of Health and Human Services on maternal mental health including barriers to care, federal programs doing relevant work, identifying best practices, and offering suggestions to improve federal infrastructure. Topics discussed include substance use, mortality, social determinants of health, data gathering, community engagement, telehealth, screening, violence, policy, access to care, stigma, and more. Highlights programs across the country addressing maternal mental health issues including some in rural areas. Discusses rural throughout.
Date: 2024
Sponsoring organizations: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services
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A report from the U.S. Department of Health and Human Services on maternal mental health including barriers to care, federal programs doing relevant work, identifying best practices, and offering suggestions to improve federal infrastructure. Topics discussed include substance use, mortality, social determinants of health, data gathering, community engagement, telehealth, screening, violence, policy, access to care, stigma, and more. Highlights programs across the country addressing maternal mental health issues including some in rural areas. Discusses rural throughout.
Date: 2024
Sponsoring organizations: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services
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Primary Care Professionals' Perspectives on Tailoring Buprenorphine Training for Rural Practice
Interviewed 23 rural Ohio primary care professionals to identify barriers to prescribing buprenorphine for opioid use disorder treatment. Discusses the need for training addressing rural-specific barriers, limited patient access to required social supports, workforce, and stigma. Offers recommendations based on findings.
Author(s): Cheyenne Fenstemaker, Elizabeth A. Abrams, Benjamin Obringer, et al.
Citation: Journal of Rural Health, 40(4), 671-680
Date: 2024
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Interviewed 23 rural Ohio primary care professionals to identify barriers to prescribing buprenorphine for opioid use disorder treatment. Discusses the need for training addressing rural-specific barriers, limited patient access to required social supports, workforce, and stigma. Offers recommendations based on findings.
Author(s): Cheyenne Fenstemaker, Elizabeth A. Abrams, Benjamin Obringer, et al.
Citation: Journal of Rural Health, 40(4), 671-680
Date: 2024
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A Community-Engaged Approach to Understanding Suicide in a Small Rural County in Georgia: A Two-Phase Content Analysis of Individual and Focus Group Interviews
Evaluates the need for suicide prevention and appropriateness of prevention efforts in a rural Georgia county by presenting analysis of 20 individual interviews and 2 focus groups conducted August 2021-June 2022. Covers individual and community contextual drivers of suicide, facilitators and barriers of medical and social support access, linkage gaps in mental health care services, and community response. Discusses schools, a military base, nonprofit and religious organizations, and other institutional supports for suicide prevention.
Author(s): Kimberly Beth Roth, Eleni Gaveras, Fatima Ghiathi, et al.
Citation: International Journal of Environmental Research and Public Health, 20(24), 7145
Date: 12/2023
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Evaluates the need for suicide prevention and appropriateness of prevention efforts in a rural Georgia county by presenting analysis of 20 individual interviews and 2 focus groups conducted August 2021-June 2022. Covers individual and community contextual drivers of suicide, facilitators and barriers of medical and social support access, linkage gaps in mental health care services, and community response. Discusses schools, a military base, nonprofit and religious organizations, and other institutional supports for suicide prevention.
Author(s): Kimberly Beth Roth, Eleni Gaveras, Fatima Ghiathi, et al.
Citation: International Journal of Environmental Research and Public Health, 20(24), 7145
Date: 12/2023
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Filling the Gaps: Program Builds Referral and Recovery Services in Western Massachusetts
Features a rural Massachusetts coalition's work to address substance misuse and build sustainable recovery services, with support from the Rural Communities Opioid Response Program (RCORP). Discusses youth outreach and engagement, stigma reduction activities, facilitating access to services, and more.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2023
Sponsoring organization: Rural Health Information Hub
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Features a rural Massachusetts coalition's work to address substance misuse and build sustainable recovery services, with support from the Rural Communities Opioid Response Program (RCORP). Discusses youth outreach and engagement, stigma reduction activities, facilitating access to services, and more.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2023
Sponsoring organization: Rural Health Information Hub
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2023 Rural Opioid and Stimulant Wellness Summit
Videos of presentations at the 2023 Rural Opioid and Stimulant Wellness Summit in Utah. Topics discussed include farmer mental health, adverse childhood experiences, equine-assisted therapy for veterans, pharmacology, person first language and stigma, harm reduction, peer support, complementary treatment options, and use of opioids and stimulants in Utah. Captions available in the video player.
Date: 10/2023
Sponsoring organization: Utah State University Extension
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Videos of presentations at the 2023 Rural Opioid and Stimulant Wellness Summit in Utah. Topics discussed include farmer mental health, adverse childhood experiences, equine-assisted therapy for veterans, pharmacology, person first language and stigma, harm reduction, peer support, complementary treatment options, and use of opioids and stimulants in Utah. Captions available in the video player.
Date: 10/2023
Sponsoring organization: Utah State University Extension
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Provision of Hospice Services by Critical Access Hospitals: Strengths and Challenges
Describes the characteristics of Critical Access Hospitals (CAHs) that report providing hospice services by analyzing data from the 2021 American Hospital Association (AHA) annual survey. Presents findings from qualitative interviews with seven CAHs who report providing hospice care, including how CAHs provide hospice services, the advantages CAHs may have when providing end-of-life care, and what CAH-specific barriers exist in providing such care.
Author(s): Robert Barclay, Megan Lahr, Hannah MacDougall, Abigail Wenninger
Date: 10/2023
Sponsoring organization: Flex Monitoring Team
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Describes the characteristics of Critical Access Hospitals (CAHs) that report providing hospice services by analyzing data from the 2021 American Hospital Association (AHA) annual survey. Presents findings from qualitative interviews with seven CAHs who report providing hospice care, including how CAHs provide hospice services, the advantages CAHs may have when providing end-of-life care, and what CAH-specific barriers exist in providing such care.
Author(s): Robert Barclay, Megan Lahr, Hannah MacDougall, Abigail Wenninger
Date: 10/2023
Sponsoring organization: Flex Monitoring Team
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National Report: Rural Substance Use Disorder Stigma and Treatment Needs
Report explores the role of stigma among rural substance use disorder (SUD) practitioners providing care to people with opioid use disorder (OUD). Bases findings on a survey of rural SUD practitioners across the country and looks specifically at their opinion of OUD patients and OUD treatment. Highlights other perceived barriers and concerns among rural practitioners.
Date: 09/2023
Sponsoring organization: University of Vermont Center on Rural Addiction
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Report explores the role of stigma among rural substance use disorder (SUD) practitioners providing care to people with opioid use disorder (OUD). Bases findings on a survey of rural SUD practitioners across the country and looks specifically at their opinion of OUD patients and OUD treatment. Highlights other perceived barriers and concerns among rural practitioners.
Date: 09/2023
Sponsoring organization: University of Vermont Center on Rural Addiction
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