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Rural Health
Resources by Topic: Substance use and misuse

Medicare Payment Basics: Inpatient Psychiatric Facilities Services Payment System
Overview of Medicare's payment system for inpatient psychiatric services provided in freestanding hospitals or specialized hospital-based units. Demonstrates how payments for these services are adjusted to reflect geographic differences in labor costs, and cost of care by facility and patient characteristics.
Date: 10/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medication-Based Treatment Among Rural, Primary Care Patients Diagnosed With Opioid Use Disorder and Alcohol Use Disorder
Explores prescribing rates of medications for opioid and alcohol use disorders (MOUD and MAUD) in primary care settings in rural and urban areas. Discusses the use of medications for treating OUD and AUD and looks for differences in utilization by rural and urban providers. Breaks down data by patient age, gender, and medication type, among other measures.
Author(s): Emily Kan, Laura-Mae Baldwin, Larissa J Mooney, et al.
Citation: Journal of Substance Use & Addiction Treatment, 164, 20933
Date: 09/2024
Type: Document
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Rural Court Perspectives on Addressing Substance Use Disorder in Justice-Involved People
Summarizes results of a listening session for rural judges and court personnel to discuss challenges and opportunities for addressing substance use disorder (SUD) for court-involved people. Highlights insights about program models, access to care, juvenile courts and family reunification, training of judges, and more.
Date: 09/2024
Type: Document
Sponsoring organization: State Justice Institute (SJI)
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Rural Reticence to Inform Physicians of Cannabis Use
Examines stigma in the healthcare system related to cannabis use and how this impacts reporting of use to providers in rural areas. Utilizes survey data from 1,045 adult Pennsylvanians and includes rural versus urban data breakdowns according to cannabidiol (CBD) use, marijuana use, and choice to inform provider about use.
Author(s): Daniel J. Mallinson, Timothy J. Servinsky
Citation: Journal of Rural Health
Date: 09/2024
Type: Document
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North Carolina Health Disparities Analysis Report, 2024
Reports on health disparities in North Carolina, identifies priority populations, and provides strategies to improve health equity. Discusses rural needs and provides rural-urban data comparisons on select topics including social drivers of health, access to care, health workforce, chronic and infectious disease, mental health, substance use, suicide, violence, and injury.
Date: 09/2024
Type: Document
Sponsoring organization: North Carolina Department of Health and Human Services
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Lessons for Future Pandemics: Temporal Evolution and Rural-Urban Variations in the Impacts of the COVID-19 on Opioid Use Treatment
Presents a study highlighting the lessons learned from opioid use treatment programs operating during the COVID-19 pandemic. Explores the impact of the pandemic on treatment services. Discusses the use of telehealth for both counseling and medication prescribing, as well as the challenges faced by patients trying to obtain treatment during the pandemic.
Author(s): Zhongyang He, Jonathan M. Heess, Travis Young, Zhen Lei
Citation: PLoS ONE, 19(9), e0310386
Date: 09/2024
Type: Document
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Co-Morbid Substance Use and Mental Health Issues in New Mexico, 2024
Reports on comorbid substance use, poor mental health, and mental health emergencies in New Mexico. Provides regional and county-level data on youth and adult substance use and mental distress, self-injury, depression, suicidal behavior or thoughts, and other mental health conditions.
Author(s): Dylan Pell, Annaliese Mayette, Dan Green
Date: 09/2024
Type: Document
Sponsoring organization: New Mexico Department of Health
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Evaluating Fentanyl Test Strips as a Harm Reduction Strategy in Rural and Urban Counties: Study Protocol for a Randomized Controlled Trial
Protocol for a study examining a harm reduction intervention which will provide education and distribute fentanyl test strips to people with recent use of illicit or street-purchased drugs in rural and urban Ohio communities. Describes study design, including selection and comparison of rural versus urban subgroups.
Author(s): Ashley Short Mejia, Gary A. Smith, Soledad A. Fernandez, et al.
Citation: Trials, 25, 587
Date: 09/2024
Type: Document
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Implementation of a Rural Emergency Department-initiated Buprenorphine Program in the Mountain West: A Study Protocol
Protocol for a study of emergency department (ED) initiation of buprenorphine treatment for opioid use disorder (OUD) in the rural Mountain West. Discusses study design, implementation strategies, and barriers to OUD treatment access and provision in rural areas.
Author(s): Natasha Seliski, Troy Madsen, Savannah Eley, et al.
Citation: Addiction Science & Clinical Practice, 19, 63
Date: 09/2024
Type: Document
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Rural and Urban Differences in Marijuana Use Following Passages of Medical Marijuana Laws
Presents a study on differences in marijuana use in rural and urban areas after the legalization of medical marijuana. Compares marijuana usage in rural and urban areas and breaks down data by race, gender, sexual identity, and marijuana use, among other factors.
Author(s): E. Morgan, C. Dyar
Citation: Public Health, 234, 64-70
Date: 09/2024
Type: Document
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