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Rural Health
Resources by Topic: Substance use and misuse

Rural and Urban Clinician Views on COVID-19's Impact on Substance Use Treatment for Individuals on Community Supervision in Kentucky
Examines the impacts of COVID-19 on the substance use disorder (SUD) treatment system. Provides information from 25 interviews with rural and urban community supervision clinicians within the Kentucky Department of Corrections (DOC). Discusses issues such as telehealth, technological challenges, inter/intra-agency collaboration, client information, and more.
Author(s): Carrie B. Oser, Maria Rockett, Sebastian Otero, et al.
Citation: Health & Justice, 12, 12
Date: 03/2024
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Home Cooked: A 50-Year History of Meth in America - Ep. 3: Lab School
Podcast series presents a discussion on the history of the use, production, and proliferation of methamphetamine in the U.S. Episode 3 discusses the home meth lab surge in the rural Midwest and how this changed the distribution and policing of the illicit meth market.
Date: 03/2024
Sponsoring organizations: Rural Assembly, The Daily Yonder
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Home Cooked: A 50-Year History of Meth in America - Ep. 2: Made in the U.S.A.
Podcast series presents a discussion on the history of the use, production, and proliferation of methamphetamine in the U.S. Episode 2 discusses the history of legal methamphetamine production and use in the 1930s and follows the drug's production and distribution post-criminalization.
Date: 03/2024
Sponsoring organizations: Rural Assembly, The Daily Yonder
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Home Cooked: A 50-Year History of Meth in America - Ep. 1: Old Meth, New Meth
Podcast series presents a discussion on the history of the use, production, and proliferation of methamphetamine in the U.S. Episode 1 discusses the perception of meth as a "hillbilly drug" and how that socially constructed perception differs from the realities of meth use and production.
Date: 03/2024
Sponsoring organizations: Rural Assembly, The Daily Yonder
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Acceptability and Feasibility of a Mobile Behavioral Economic Health Intervention to Reduce Alcohol Use in Adults in Rural Areas
Presents results of a remotely-delivered alcohol use reduction pilot program focused on promoting use of behavioral economic strategies and participation in alternative activities among 75 rural people with at-risk alcohol use. Discusses the viability of service delivery via mobile phones and other internet-enabled devices to rural and remote areas.
Author(s): Natalie D. Bayrakdarian, Erin E. Bonar, Isabelle Duguid, et al.
Citation: Drug and Alcohol Dependence Reports, 100225
Date: 03/2024
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Kentucky Outreach Service Kiosk (KyOSK) Study Protocol: A Community-Level, Controlled Quasi-Experimental, Type 1 Hybrid Effectiveness Study to Assess Implementation, Effectiveness and Cost-Effectiveness of a Community-Tailored Harm Reduction Kiosk on HIV, HCV and Overdose Risk in Rural Appalachia
Reports on study design and implementation of a kiosk-based harm reduction intervention focused on HIV, hepatitis C, and overdose risk in rural Appalachia. Describes characteristics of two selected Appalachian Kentucky counties, eligibility criteria, data collection procedures, and study outcome measurement.
Author(s): April M Young, Jennifer R Havens, Hannah L F Cooper, et al.
Citation: BMJ Open, 14(3), e083983
Date: 03/2024
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Rural–Urban Differences in Out-of-Network Treatment Initiation and Engagement Rates for Substance Use Disorders
Explores disparities in access to substance use disorder treatments among privately insured individuals in rural and urban areas between 2016-2018. Compares rates of initial and ongoing treatment for alcohol use disorder, opioid use disorder, and other drug use disorders overall and from out-of-network providers for urban and rural patients.
Author(s): Eli Raver, Sheldon M. Retchin, Yiting Li, Andrew D. Carlo, Wendy Y. Xu
Citation: Health Services Research
Date: 03/2024
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Use of In-Network Insurance Benefits Is Critical for Improving Retention in Telehealth-Based Buprenorphine Treatment
Evaluated 3,842 patients in an opioid use disorder (OUD) telehealth company to identify associations in insurance status and treatment program retention. Patient characteristic data includes breakdown by urbanicity, demographic characteristics, buprenorphine status, and more.
Author(s): Arthur Robin Williams, Christopher Row, Lexie Minarik, et al.
Citation: Health Affairs Scholar, 2(3)
Date: 03/2024
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Cannabis Donation as a Harm Reduction Strategy: A Case Study
Analyzes harm reduction practices to address overdose mortality rates in the U.S. by exploring the outcomes of a cannabis donation program operated in rural Michigan. Examines the program's operational logistics, feasibility, sales and donation statistics, potential benefits, and impacts of substituting cannabis in place of other substances.
Author(s): Sarah E. Duhart Clarke, Grant Victor, Pamela Lynch, Leslie W. Suen, Bradley Ray
Citation: Harm Reduction Journal, 21, 58
Date: 03/2024
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The Influence of Transformations in Supply on Methamphetamine Initiation Among People Injecting Opioids in the United States
Discusses the co-use of methamphetamine (MA) and opioids (pharmaceutical pills, heroin and fentanyls) through interview and observation of 30 individuals in West Virginia. Explores drug initiation and supply as well as evolving cultural beliefs and taboos of drug use, including those related to rural spaces in West Virginia.
Author(s): Sarah Mars, Jeff Ondocsin, Nicole Holm, Daniel Ciccarone
Citation: Harm Reduction Journal, 21, 57
Date: 03/2024
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