Rural Health
Resources by Topic: Substance use and misuse
Preventing Drug Abuse: Low Participation by Pharmacies and Other Entities as Voluntary Collectors of Unused Prescription Drugs
Report to Congress documenting low participation rates among pharmacies and other eligible entities in the Drug Enforcement Administration's (DEA) unused controlled substance collection and disposal program. Includes an outline of program requirements, a state-by-state overview of currently eligible and enrolled entities, and information about participation rates by rural and urban location.
Additional links: Full Report
Date: 10/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Report to Congress documenting low participation rates among pharmacies and other eligible entities in the Drug Enforcement Administration's (DEA) unused controlled substance collection and disposal program. Includes an outline of program requirements, a state-by-state overview of currently eligible and enrolled entities, and information about participation rates by rural and urban location.
Additional links: Full Report
Date: 10/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Opioid Use Disorders: HHS Needs Measures to Assess the Effectiveness of Efforts to Expand Access to Medication-Assisted Treatment
Reviews U.S. Department of Health and Human Services' (HHS) efforts to expand access to and the use of medication assisted treatment (MAT) for treating opioid use disorders. Includes a discussion of rural-specific programs and makes recommendations for improving future efforts and overall program evaluation.
Additional links: Full Report
Date: 10/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Reviews U.S. Department of Health and Human Services' (HHS) efforts to expand access to and the use of medication assisted treatment (MAT) for treating opioid use disorders. Includes a discussion of rural-specific programs and makes recommendations for improving future efforts and overall program evaluation.
Additional links: Full Report
Date: 10/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Illicit Drug Use, Illicit Drug Use Disorders, and Drug Overdose Deaths in Metropolitan and Nonmetropolitan Areas — United States
Reports on trends in illicit drug use, illicit drug use disorders, and overdose deaths in large metropolitan, small metropolitan, and nonmetropolitan areas, based on 2003–2014 National Survey on Drug Use and Health (NSDUH) data and 1999–2015 National Vital Statistics System Mortality (NVSS-M) data. Includes metro/nonmetro illicit drug use data by sex, age group, race/ethnicity, and household income. Includes data on metro/nonmetro drug overdose deaths by sex, race/ethnicity, intent (unintentional, homicide, suicide, undetermined), and age group.
Author(s): Karin A. Mack, Christopher M. Jones, Michael F. Ballesteros
Citation: MMWR Surveillance Summaries, 66(19), 1-12
Date: 10/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on trends in illicit drug use, illicit drug use disorders, and overdose deaths in large metropolitan, small metropolitan, and nonmetropolitan areas, based on 2003–2014 National Survey on Drug Use and Health (NSDUH) data and 1999–2015 National Vital Statistics System Mortality (NVSS-M) data. Includes metro/nonmetro illicit drug use data by sex, age group, race/ethnicity, and household income. Includes data on metro/nonmetro drug overdose deaths by sex, race/ethnicity, intent (unintentional, homicide, suicide, undetermined), and age group.
Author(s): Karin A. Mack, Christopher M. Jones, Michael F. Ballesteros
Citation: MMWR Surveillance Summaries, 66(19), 1-12
Date: 10/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Implementing Medication-Assisted Treatment for Opioid Use Disorder in Rural Primary Care: Environmental Scan Volume 1
Details challenges and barriers to implementing medication-assisted treatment (MAT) for opioid use disorder (OUD) in a primary care setting, such as healthcare policy, workforce, and financing, among others. Includes 250 tools and resources to help overcome barriers and support implementation MAT in rural areas.
Additional links: Volume 2: Tools and Resources
Author(s): Garrett E. Moran, Caroline M. Snyder, Rebecca F. Noftsinger, Joshua K. Noda
Date: 10/2017
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Details challenges and barriers to implementing medication-assisted treatment (MAT) for opioid use disorder (OUD) in a primary care setting, such as healthcare policy, workforce, and financing, among others. Includes 250 tools and resources to help overcome barriers and support implementation MAT in rural areas.
Additional links: Volume 2: Tools and Resources
Author(s): Garrett E. Moran, Caroline M. Snyder, Rebecca F. Noftsinger, Joshua K. Noda
Date: 10/2017
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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The Federal Response to the Opioid Crisis
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the government's response on the opioid crisis. Includes testimonies from SAMHSA, CDC, NIH, and the FDA regarding current efforts to increase access to treatment for opioid addiction and promote preventative measures across the U.S.
Additional links: Written Testimony
Date: 10/2017
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the government's response on the opioid crisis. Includes testimonies from SAMHSA, CDC, NIH, and the FDA regarding current efforts to increase access to treatment for opioid addiction and promote preventative measures across the U.S.
Additional links: Written Testimony
Date: 10/2017
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Exploring Rural Disparities in Medical Diagnoses among Veterans with Transgender-related Diagnoses Utilizing Veterans Health Administration Care
Presents a study on the differences in transgender-related diagnoses of veterans treated by the Veterans Health Administration in rural versus urban areas. Discusses medical conditions associated with transgender veterans, such as substance use and post-traumatic stress disorder, among others.
Author(s): Leigh A. Bukowski, John Blosnich, Jillian C. Shipherd, et al.
Citation: Medical Care, 55(9 Suppl2), S97-S103
Date: 09/2017
Type: Document
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Presents a study on the differences in transgender-related diagnoses of veterans treated by the Veterans Health Administration in rural versus urban areas. Discusses medical conditions associated with transgender veterans, such as substance use and post-traumatic stress disorder, among others.
Author(s): Leigh A. Bukowski, John Blosnich, Jillian C. Shipherd, et al.
Citation: Medical Care, 55(9 Suppl2), S97-S103
Date: 09/2017
Type: Document
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Using Telehealth to Identify and Manage Mental Health and Substance Use Disorder Conditions in Rural Areas
Reports on an environmental scan, discussions with providers and stakeholders, and site visits regarding how telehealth supports behavioral health and substance use disorder treatment. Addresses how telehealth is used, implementation, services offered, financing and sustainability. Focuses on the implications for treating opioid use disorders in rural areas, in particular, using medication-assisted treatment (MAT) with support from telehealth. Appendix B includes site briefs from the 9 states included in the study.
Date: 09/2017
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Reports on an environmental scan, discussions with providers and stakeholders, and site visits regarding how telehealth supports behavioral health and substance use disorder treatment. Addresses how telehealth is used, implementation, services offered, financing and sustainability. Focuses on the implications for treating opioid use disorders in rural areas, in particular, using medication-assisted treatment (MAT) with support from telehealth. Appendix B includes site briefs from the 9 states included in the study.
Date: 09/2017
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Culture and Self-Determination Provide Strength to Heal
Describes how the Seneca Nation of Indians has incorporated its culture into programs and community initiatives. Examples include school and adult Seneca language immersion programs, restoring indigenous plants, cultivating native animals, and the Seneca Strong program to address substance abuse by incorporating prevention and sobriety programming into traditional rites of passage, outdoor skills camps, and powwows. The Seneca Nation of Indians (New York) received the 2017 Robert Wood Johnson Foundation's Culture of Health Prize.
Date: 09/2017
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
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Describes how the Seneca Nation of Indians has incorporated its culture into programs and community initiatives. Examples include school and adult Seneca language immersion programs, restoring indigenous plants, cultivating native animals, and the Seneca Strong program to address substance abuse by incorporating prevention and sobriety programming into traditional rites of passage, outdoor skills camps, and powwows. The Seneca Nation of Indians (New York) received the 2017 Robert Wood Johnson Foundation's Culture of Health Prize.
Date: 09/2017
Type: Document
Sponsoring organization: Robert Wood Johnson Foundation
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Innovations in Rural Health System Development: Federally Qualified Health Center Initiatives
Reports on Maine's Federally Qualified Health Centers (FQHCs). Discusses strategies for workforce recruitment and retention, serving high-need patient populations, addressing critical community needs, and providing services that address the social determinants of health. Provides various examples of programs from across the state.
Author(s): Sara Kahn-Troster, Amanda Burgess, Andrew Coburn
Date: 09/2017
Type: Document
Sponsoring organizations: Catherine Cutler Institute, Maine Health Access Foundation
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Reports on Maine's Federally Qualified Health Centers (FQHCs). Discusses strategies for workforce recruitment and retention, serving high-need patient populations, addressing critical community needs, and providing services that address the social determinants of health. Provides various examples of programs from across the state.
Author(s): Sara Kahn-Troster, Amanda Burgess, Andrew Coburn
Date: 09/2017
Type: Document
Sponsoring organizations: Catherine Cutler Institute, Maine Health Access Foundation
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In Focus: Expanding Access to Addiction Treatment Through Primary Care
Discusses the lack of access to treatment for drug addiction and presents models for implementing medication-assisted treatment (MAT) for addiction, including one in a rural community health center. Looks at barriers to expanding MAT in primary care, as well as methods for overcoming those barriers.
Author(s): Martha Hostetter, Sarah Klein
Citation: Transforming Care: Reporting on Health System Improvement
Date: 09/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Discusses the lack of access to treatment for drug addiction and presents models for implementing medication-assisted treatment (MAT) for addiction, including one in a rural community health center. Looks at barriers to expanding MAT in primary care, as well as methods for overcoming those barriers.
Author(s): Martha Hostetter, Sarah Klein
Citation: Transforming Care: Reporting on Health System Improvement
Date: 09/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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