Rural Health
Resources by Topic: Substance use and misuse
Health Panel Comment Letter – HHS Smoking Cessation Framework 2023
Offers comments in response to the U.S. Department of Health and Human Services (HHS) Request for Information on the draft HHS 2023 Framework to Support and Accelerate Smoking Cessation. Discusses tobacco use in rural areas, incorporating payment strategies to incentivize clinical providers and health plans to address tobacco cessation, the importance of culturally competent interventions, and more.
Date: 07/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
Offers comments in response to the U.S. Department of Health and Human Services (HHS) Request for Information on the draft HHS 2023 Framework to Support and Accelerate Smoking Cessation. Discusses tobacco use in rural areas, incorporating payment strategies to incentivize clinical providers and health plans to address tobacco cessation, the importance of culturally competent interventions, and more.
Date: 07/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
State Differences in Recommended Components of Care Received During Postpartum Visits for Rural and Urban Residents, 2016-2019
Policy brief measuring state-level differences in receipt of recommended postpartum care components for urban and rural residents, using data from the Pregnancy Risk Assessment Monitoring System. Features statistics on the median number of postpartum care components with breakdowns by state and rurality, and state-level maps with shadings showing frequency of screening for depression, smoking, abuse, and counseling for contraception, eating and exercise, and birth spacing.
Author(s): Julia D. Interrante, Phoebe Chastain, Katy Backes Kozhimannil
Date: 07/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
Policy brief measuring state-level differences in receipt of recommended postpartum care components for urban and rural residents, using data from the Pregnancy Risk Assessment Monitoring System. Features statistics on the median number of postpartum care components with breakdowns by state and rurality, and state-level maps with shadings showing frequency of screening for depression, smoking, abuse, and counseling for contraception, eating and exercise, and birth spacing.
Author(s): Julia D. Interrante, Phoebe Chastain, Katy Backes Kozhimannil
Date: 07/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
The Frontier of Harm Reduction: Expanding Services for Rural People Who Use Drugs
Describes how harm reduction approaches help reduce health risks related to substance use and explains how these approaches are being adapted in rural areas. Highlights innovative harm reduction strategies being used in rural communities in Alaska, Wisconsin, and South Dakota.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 07/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Describes how harm reduction approaches help reduce health risks related to substance use and explains how these approaches are being adapted in rural areas. Highlights innovative harm reduction strategies being used in rural communities in Alaska, Wisconsin, and South Dakota.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 07/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Indian Health Service Program Evaluation Services: Community Opioid Intervention Pilot Projects FY 2021-2022 Report
Report evaluates the Indian Health Service's Community Opioid Intervention Pilot Project aimed at addressing opioid use disorder in American Indian and Alaska Native communities. Collects and evaluates data from grantees after the program's first year, April 1, 2021-March 31, 2022. Explores grantees' progress in building organizational capacity, community and educational events, and professional trainings, among other measures.
Date: 07/2023
Type: Document
Sponsoring organization: Indian Health Service
view details
Report evaluates the Indian Health Service's Community Opioid Intervention Pilot Project aimed at addressing opioid use disorder in American Indian and Alaska Native communities. Collects and evaluates data from grantees after the program's first year, April 1, 2021-March 31, 2022. Explores grantees' progress in building organizational capacity, community and educational events, and professional trainings, among other measures.
Date: 07/2023
Type: Document
Sponsoring organization: Indian Health Service
view details
Evaluation of the Vermont All-Payer Accountable Care Organization Model: Third Evaluation Report
Evaluates the first four and a half performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes trends in substance use disorder diagnosis and treatment for Medicaid members. Outlines challenges and lessons learned, as well as areas for future research.
Additional links: Findings at a Glance, Technical Appendices
Date: 07/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
view details
Evaluates the first four and a half performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes trends in substance use disorder diagnosis and treatment for Medicaid members. Outlines challenges and lessons learned, as well as areas for future research.
Additional links: Findings at a Glance, Technical Appendices
Date: 07/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
view details
Factors Associated with Homelessness Among US Veterans: A Systematic Review
Examines individual-level risk factors for homelessness in the U.S. veterans population by reviewing 60 relevant studies. Analyzes factors related to homelessness such as military service, mental health, substance use, and sociodemographic variables, including the impact of living in a rural area.
Additional links: Appendices, Executive Summary, Report
Author(s): JK Anderson, KM Mackey, EH Beech, S Young, NJ Parr
Date: 07/2023
Type: Document
Sponsoring organization: U.S. Department of Veterans Affairs
view details
Examines individual-level risk factors for homelessness in the U.S. veterans population by reviewing 60 relevant studies. Analyzes factors related to homelessness such as military service, mental health, substance use, and sociodemographic variables, including the impact of living in a rural area.
Additional links: Appendices, Executive Summary, Report
Author(s): JK Anderson, KM Mackey, EH Beech, S Young, NJ Parr
Date: 07/2023
Type: Document
Sponsoring organization: U.S. Department of Veterans Affairs
view details
Addressing the Opioid Crisis: A Look at the Evolving Landscape of Federal OUD Treatment Policies
Provides an overview of five federal policies that impacted the provision of opioid use disorder (OUD) treatments during the COVID-19 pandemic. Covers regulations related to buprenorphine medication, methadone dispensing programs, overdose prevention and reversal methods, and leveraging Medicaid for pre- and post-release from prison OUD treatment services. Discusses how state laws may limit federal efforts.
Author(s): Heather Saunders, Nirmita Panchal
Date: 07/2023
Type: Document
Sponsoring organization: KFF
view details
Provides an overview of five federal policies that impacted the provision of opioid use disorder (OUD) treatments during the COVID-19 pandemic. Covers regulations related to buprenorphine medication, methadone dispensing programs, overdose prevention and reversal methods, and leveraging Medicaid for pre- and post-release from prison OUD treatment services. Discusses how state laws may limit federal efforts.
Author(s): Heather Saunders, Nirmita Panchal
Date: 07/2023
Type: Document
Sponsoring organization: KFF
view details
North Carolina Office of Rural Health Key Performance Measures Reported by Program
Offers statistics for performance measures or output for fiscal year 2023. Features breakdowns including total patient encounters and telemedicine encounters; statistics on controlled diabetes, hypertension, and early pre-natal care; and screening for tobacco use, depression, and obesity.
Date: 06/2023
Type: Document
Sponsoring organization: North Carolina Department of Health and Human Services
view details
Offers statistics for performance measures or output for fiscal year 2023. Features breakdowns including total patient encounters and telemedicine encounters; statistics on controlled diabetes, hypertension, and early pre-natal care; and screening for tobacco use, depression, and obesity.
Date: 06/2023
Type: Document
Sponsoring organization: North Carolina Department of Health and Human Services
view details
Changes in Buprenorphine Visits in Frontier and Remote Locations: Effects of the SARS-COV-2 Pandemic
Evaluated patient appointments offering buprenorphine prescriptions in the 55 weeks before and after the start of the COVID-19 pandemic to determine the impact of the pandemic and pandemic-era policies on buprenorphine access for frontier residents in the Great Plains region.
Author(s): Lisa M. McFadden
Citation: Drug and Alcohol Dependence Reports, 7, 100155
Date: 06/2023
Type: Document
view details
Evaluated patient appointments offering buprenorphine prescriptions in the 55 weeks before and after the start of the COVID-19 pandemic to determine the impact of the pandemic and pandemic-era policies on buprenorphine access for frontier residents in the Great Plains region.
Author(s): Lisa M. McFadden
Citation: Drug and Alcohol Dependence Reports, 7, 100155
Date: 06/2023
Type: Document
view details
Access to Medications for Opioid Use Disorder in Rural Versus Urban Veterans Health Administration Facilities
Explores rural veterans' access to medications for opioid use disorder (MOUD) via the Veterans Health Administration (VHA) system. Highlights VHA efforts to expand access to MOUD within VHA facilities and aims to identify access levels for rural veterans via the VA's Community Care program. Breaks down data by type of MOUD and by rural or urban location.
Author(s): Jessica J. Wyse, Sarah Shull, Stephan Lindner, et al.
Citation: Journal of General Internal Medicine, 38(8), 1871-1876
Date: 06/2023
Type: Document
view details
Explores rural veterans' access to medications for opioid use disorder (MOUD) via the Veterans Health Administration (VHA) system. Highlights VHA efforts to expand access to MOUD within VHA facilities and aims to identify access levels for rural veterans via the VA's Community Care program. Breaks down data by type of MOUD and by rural or urban location.
Author(s): Jessica J. Wyse, Sarah Shull, Stephan Lindner, et al.
Citation: Journal of General Internal Medicine, 38(8), 1871-1876
Date: 06/2023
Type: Document
view details