Rural Health
Resources by Topic: Substance use and misuse
Maintaining Fidelity to ACT: Current Issues and Innovations in Implementation
Reports on principles, implementation, and population-based adaptions of the Assertive Community Treatment (ACT) model, which provides community-based treatment and recovery services for people with serious mental illness and high risk of concurrent substance use, homelessness, criminal justice system involvement, or psychiatric crisis. See pages 35-38 for discussion of rural ACT implementation and modifications.
Date: 09/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Reports on principles, implementation, and population-based adaptions of the Assertive Community Treatment (ACT) model, which provides community-based treatment and recovery services for people with serious mental illness and high risk of concurrent substance use, homelessness, criminal justice system involvement, or psychiatric crisis. See pages 35-38 for discussion of rural ACT implementation and modifications.
Date: 09/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Equitable Implementation of Lung Cancer Screening: Avoiding Its Potential to Mirror Existing Inequities among People Who Use Tobacco
Discusses barriers impacting equitable lung cancer screening across sociodemographic factors. Provides commentary on historical trends of smoking and outreach efforts to underserved populations, including those without insurance, those with mental illness, gender and racial minorities, rural communities, and more.
Author(s): Emily Bilenduke, Shacoria Anderson, Alison Brenner, et al.
Citation: Cancer Causes & Control, 34, 209-216
Date: 09/2023
Type: Document
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Discusses barriers impacting equitable lung cancer screening across sociodemographic factors. Provides commentary on historical trends of smoking and outreach efforts to underserved populations, including those without insurance, those with mental illness, gender and racial minorities, rural communities, and more.
Author(s): Emily Bilenduke, Shacoria Anderson, Alison Brenner, et al.
Citation: Cancer Causes & Control, 34, 209-216
Date: 09/2023
Type: Document
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Types of Offers of Combustible Cigarettes, E-Cigarettes, and Betel Nut Experienced by Guam Youths
Presents a study on the scenarios where youths in Guam are presented with the opportunity to use cigarettes, e-cigarettes, and betel nut. Bases findings on focus group discussions and breaks down data by type of offer, location, and group context, among other measures.
Author(s): Francis Dalisay, Scott K. Okamoto, Jane Teneza, et al.
Citation: International Journal of Environmental Research and Public Health, 20(19), 6832
Date: 09/2023
Type: Document
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Presents a study on the scenarios where youths in Guam are presented with the opportunity to use cigarettes, e-cigarettes, and betel nut. Bases findings on focus group discussions and breaks down data by type of offer, location, and group context, among other measures.
Author(s): Francis Dalisay, Scott K. Okamoto, Jane Teneza, et al.
Citation: International Journal of Environmental Research and Public Health, 20(19), 6832
Date: 09/2023
Type: Document
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Culturally Responsive Pathways to Peer Programming in Tribal Communities
Discusses best practices for the use of peer recovery support services (PRSS) for addiction recovery in American Indian/Alaska Native (AI/AN) communities. Includes a culturally competent adaptation of the Sequential Intercept Model (SIM) and offers evidence-based case studies.
Date: 09/2023
Type: Document
Sponsoring organizations: Bureau of Justice Assistance, U.S. Department of Justice
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Discusses best practices for the use of peer recovery support services (PRSS) for addiction recovery in American Indian/Alaska Native (AI/AN) communities. Includes a culturally competent adaptation of the Sequential Intercept Model (SIM) and offers evidence-based case studies.
Date: 09/2023
Type: Document
Sponsoring organizations: Bureau of Justice Assistance, U.S. Department of Justice
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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
Type: Document
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
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Will Availability of Over-the-Counter Narcan Increase Access?
Highlights state policies and recent research related to over-the-counter naloxone access. Includes information on the impact of rurality on access. Also discusses insurance coverage and impact of cost.
Author(s): Heather Saunders, Robin Rudowitz
Date: 09/2023
Type: Document
Sponsoring organization: KFF
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Highlights state policies and recent research related to over-the-counter naloxone access. Includes information on the impact of rurality on access. Also discusses insurance coverage and impact of cost.
Author(s): Heather Saunders, Robin Rudowitz
Date: 09/2023
Type: Document
Sponsoring organization: KFF
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Implementation of Substance Use Screening in Rural Federally-Qualified Health Center Clinics Identified High Rates of Unhealthy Alcohol and Cannabis Use among Adult Primary Care Patients
Examines the feasibility of integrating electronic health record (EHR) tools into the screening of primary care patients for substance use. Discusses the process of screening 3,749 patients at 3 rural Federally Qualified Health Centers (FQHCs) via EHR-integrated methods and the potential impacts of this screening method on reducing rural primary care provider burden.
Author(s): Jennifer McNeely, Bethany McLeman, Trip Gardner, et al.
Citation: Addiction Science & Clinical Practice, 18, 56
Date: 09/2023
Type: Document
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Examines the feasibility of integrating electronic health record (EHR) tools into the screening of primary care patients for substance use. Discusses the process of screening 3,749 patients at 3 rural Federally Qualified Health Centers (FQHCs) via EHR-integrated methods and the potential impacts of this screening method on reducing rural primary care provider burden.
Author(s): Jennifer McNeely, Bethany McLeman, Trip Gardner, et al.
Citation: Addiction Science & Clinical Practice, 18, 56
Date: 09/2023
Type: Document
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State Principles for Financing Substance Use Care, Treatment, and Support Services
Provides an overview of strategies to strengthen and finance evidence-based substance use disorder (SUD) treatment and support services. Focuses on the role of public health to address SUD, the need for appropriate policy, and plans to reduce access issues and health disparities in marginalized communities. Includes considerations and examples from rural areas.
Additional links: Executive Summary, Webinar
Author(s): Hadley Fitzgerald, Disha Williams
Date: 09/2023
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Provides an overview of strategies to strengthen and finance evidence-based substance use disorder (SUD) treatment and support services. Focuses on the role of public health to address SUD, the need for appropriate policy, and plans to reduce access issues and health disparities in marginalized communities. Includes considerations and examples from rural areas.
Additional links: Executive Summary, Webinar
Author(s): Hadley Fitzgerald, Disha Williams
Date: 09/2023
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Indexed Age-Adjusted Mortality Rates by Geography for Oklahomans Age 25 to 64 (2016-2020)
Chart depicting mortality rates in Oklahoma for adults between 25 and 64. Compares rates between metropolitan and non-metropolitan tiers, all of Oklahoma, and the national rate for all causes of mortality, multiple chronic illnesses, cancer, stroke, suicide, opioids, and accidents. Click the full screen icon in the chart viewer to see the entire chart.
Date: 09/2023
Type: Chart/Graph
Sponsoring organization: Oklahoma State University Center for Rural Health
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Chart depicting mortality rates in Oklahoma for adults between 25 and 64. Compares rates between metropolitan and non-metropolitan tiers, all of Oklahoma, and the national rate for all causes of mortality, multiple chronic illnesses, cancer, stroke, suicide, opioids, and accidents. Click the full screen icon in the chart viewer to see the entire chart.
Date: 09/2023
Type: Chart/Graph
Sponsoring organization: Oklahoma State University Center for Rural Health
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2022 Report to Congress on the State Opioid Response Grants (SOR)
Report details the outcomes of state opioid response (SOR) grants to Congress. Highlights demographic breakdown of people served by SOR programs and discusses key accomplishments by state/territory. Includes rural references throughout.
Author(s): Miriam E. Delphin-Rittmon, Yngvild Olsen, MD, C. Danielle Johnson Byrd
Date: 09/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report details the outcomes of state opioid response (SOR) grants to Congress. Highlights demographic breakdown of people served by SOR programs and discusses key accomplishments by state/territory. Includes rural references throughout.
Author(s): Miriam E. Delphin-Rittmon, Yngvild Olsen, MD, C. Danielle Johnson Byrd
Date: 09/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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