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Rural Health
Resources by Topic: Substance use and misuse

Promising Practice: Virginia SORH Taking Aim at Opioid Overdose
Illustrates how the Virginia State Office of Rural Health (VA SORH) and its partners are focusing their attention on the opioid epidemic in rural areas of the state by expanding treatment, and training lay rescuers to recognize and respond to an opioid overdose and administer naloxone when necessary.
Author(s): Beth Blevins
Date: 04/2017
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Substance Use in Rural Central Appalachia: Current Status and Treatment Considerations
Examines the factors in rural Central Appalachia that influence substance misuse and the treatments, strategies, and interventions to curb drug misuse and improve treatment outcomes. Discusses how the combination of poverty, work-related distress, lack of healthcare coverage, and the shortage of qualified providers of substance use treatments affect the need for a multifaceted policy approach in the region.
Author(s): Lara Moody, Emily Satterwhite, Warren K. Bickel
Citation: Rural Mental Health, 41(2), 123-135
Date: 04/2017
Type: Document
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The Opioid Epidemic: Evidence Based Strategies Legislative Report
Discusses the causes and consequences of the opioid epidemic in Louisiana, as well as recommendations to help address it. Outlines differences between rural and urban areas of the state. Provides maps showing access to treatment programs and buprenorphine providers.
Date: 04/2017
Type: Document
Sponsoring organizations: Louisiana Commission on Preventing Opioid Abuse, Louisiana Department of Health
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Report on Lessons Learned from Rural Opioid Overdose Reversal Grant Recipients
Presents lessons learned from the recipients of the Rural Opioid Overdose Reversal (ROOR) Program grants. The ROOR Program was piloted by the Federal Office of Rural Health Policy (FORHP) in 2015 and seeks to combat the opioid crisis at the local level. Report also shares resources designed to assist other rural organizations and documents the impact of the pilot year program. Provides background information on each of the 18 original grant recipients and their programs.
Date: 04/2017
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Harm Reduction – West Virginia Local Health Departments Lead Efforts to Mitigate Human and Financial Costs of Opioid Epidemic
Describes West Virginia public health departments' efforts to promote harm reduction programs, as a response to the opioid crisis and resulting overdose deaths. Gives examples of successful programs from across the state.
Date: 04/2017
Type: Document
Sponsoring organization: West Virginia Association of Local Health Departments
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Rural Opioid Prevention and Treatment Strategies: The Experience in Four States
Study examining strategies for dealing with the rural opioid crisis, including prevention, treatment, and recovery services. Uses data from interviews with key stakeholders in Indiana, North Carolina, Vermont, and Washington.
Additional links: Research and Policy Brief
Author(s): John A. Gale, Anush Y. Hansen, Martha Elbaum Williamson
Date: 04/2017
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Multilevel Prevention Trial of Alcohol Use Among American Indian and White High School Students in the Cherokee Nation
Evaluates a multilevel intervention program developed to prevent alcohol use among rural White and Native American youth in the Cherokee Nation. Studies 6 communities by comparing a control program with two intervention programs targeting access to alcohol and screening paired with targeted intervention through the school system. Evaluates survey data, reporting the outcomes of these intervention methods on heavy episodic drinking and 30-day alcohol use.
Author(s): Kelli Komro, Melvin Livingston, Alexander Wagenaar, et al.
Citation: American Journal of Public Health, 107(3), 453-459
Date: 03/2017
Type: Document
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2017 County Health Rankings Key Findings Report
Provides information on county-level health disparities by analyzing health factors and outcomes throughout the U.S. Covers risk factors for premature death, including drug overdose and other injury fatalities, and discusses opportunities for youth and young adults. Includes data breakdowns by rurality and race/ethnicity.
Date: 03/2017
Type: Document
Sponsoring organization: County Health Rankings & Roadmaps
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The Effects of Perceived Racial/Ethnic Discrimination on Substance Use Among Youths Living in the Cherokee Nation
Study examining the association of racial discrimination and substance misuse from a sample of American Indian, American Indian and White, and White adolescents living in small rural communities of northeast Oklahoma within the Cherokee Nation Tribal Jurisdictional Service Area (CNTJSA).
Author(s): Brady A. Garrett, Bethany J. Livingston, Melvin D. Livingston, Kelli A. Komroc
Citation: Journal of Child & Adolescent Substance Abuse, 26(3), 242–249
Date: 03/2017
Type: Document
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Sleep Quality in an Adult American Indian Community Sample
Highlights a study on the sleep quality of American Indians and Alaska Natives and the factors contributing negatively to sleep. Analyzes data by age, academic attainment, and substance use among other factors.
Author(s): Cindy L. Ehlers, Derek N. Wills, Philip Lau, David A. Gilder
Citation: Journal of Clinical Sleep Medicine, 13(3), 385-391
Date: 03/2017
Type: Document
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