Rural Health
Resources by Topic: Substance use and misuse
Strategies to Recruit Rural Primary Care Providers to Implement a Medication for Opioid Use Disorder (MOUD) Focused Integrated Care Model
Highlights a study on an intervention aimed at addressing systemic barriers to accessing medications for opioid used disorder (MOUD) for rural patients via an integrated care model. Breaks down the intervention structure and discusses project replication and sustainability.
Author(s): Renee M. Cloutier, Evan S. Cole, Brianna L. McDonough, et al.
Citation: Implementation Research and Practice, 4, 1-12
Date: 01/2023
Type: Document
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Highlights a study on an intervention aimed at addressing systemic barriers to accessing medications for opioid used disorder (MOUD) for rural patients via an integrated care model. Breaks down the intervention structure and discusses project replication and sustainability.
Author(s): Renee M. Cloutier, Evan S. Cole, Brianna L. McDonough, et al.
Citation: Implementation Research and Practice, 4, 1-12
Date: 01/2023
Type: Document
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Analysis of Substance Use and Suicidal Ideation in Midwestern Frontier and Non-Frontier Locations
Evaluated emergency department data in South Dakota from 2017 to 2018 to identify ED usage by frontier and non-frontier residents for substance use disorder and suicidal ideation. Discusses usage by substance and the connection between substance use and suicidal ideation.
Author(s): Alexandra Dolezal, Marie Severson, Rusul Ali, Phil Dohn, Lisa McFadden
Citation: South Dakota Medicine, 76(1), 24-27
Date: 01/2023
Type: Document
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Evaluated emergency department data in South Dakota from 2017 to 2018 to identify ED usage by frontier and non-frontier residents for substance use disorder and suicidal ideation. Discusses usage by substance and the connection between substance use and suicidal ideation.
Author(s): Alexandra Dolezal, Marie Severson, Rusul Ali, Phil Dohn, Lisa McFadden
Citation: South Dakota Medicine, 76(1), 24-27
Date: 01/2023
Type: Document
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HCV Serostatus and Injection Sharing Practices Among Those Who Obtain Syringes From Pharmacies and Directly and Indirectly From Syringe Services Programs in Rural New England
Explores the effect that syringe services programs (SSPs) have on hepatitis C (HCV) infection rates in rural people who inject drugs (PWID). Breaks down data by user characteristics, such as age, employment, and syringe sharing practices, among others.
Author(s): Eric Romo, Abby E. Rudolph, Thomas J. Stopka, et al.
Citation: Addiction Science and Clinical Practice, 18
Date: 01/2023
Type: Document
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Explores the effect that syringe services programs (SSPs) have on hepatitis C (HCV) infection rates in rural people who inject drugs (PWID). Breaks down data by user characteristics, such as age, employment, and syringe sharing practices, among others.
Author(s): Eric Romo, Abby E. Rudolph, Thomas J. Stopka, et al.
Citation: Addiction Science and Clinical Practice, 18
Date: 01/2023
Type: Document
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Development and Implementation of the ECHO Model in a School Setting to Address Youth Electronic Cigarette Use in Kansas: A Protocol
Evaluates the development of an ECHO pilot project in Kansas to build staff capacity for the purpose of addressing youth e-cigarette use in rural and frontier areas. Utilizes 20 interdisciplinary school teams to participate in the ECHO model from 2021-2022 and discusses the potential effectiveness of the ECHO model.
Author(s): Eleanor L. S. Leavens, Jordan Roberts, Babalola Faseru, et al.
Citation: Frontiers in Public Health, 10
Date: 01/2023
Type: Document
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Evaluates the development of an ECHO pilot project in Kansas to build staff capacity for the purpose of addressing youth e-cigarette use in rural and frontier areas. Utilizes 20 interdisciplinary school teams to participate in the ECHO model from 2021-2022 and discusses the potential effectiveness of the ECHO model.
Author(s): Eleanor L. S. Leavens, Jordan Roberts, Babalola Faseru, et al.
Citation: Frontiers in Public Health, 10
Date: 01/2023
Type: Document
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Over the Hills and Through the Hollers: How One Program is Assisting Residents of Appalachia with Opioid Use Recovery
Results of a study evaluating the Kentucky Access to Recovery Program (KATR), which provides services to low-income adults recovering from opioid addiction in several rural eastern Kentucky counties. Examines the impact of KATR on service recipients' access to recovery services and supports.
Author(s): Aubrey E. Jones, Jayme E. Walters, Aaron R. Brown
Citation: Journal of Appalachian Health, 4(3), 71-86
Date: 01/2023
Type: Document
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Results of a study evaluating the Kentucky Access to Recovery Program (KATR), which provides services to low-income adults recovering from opioid addiction in several rural eastern Kentucky counties. Examines the impact of KATR on service recipients' access to recovery services and supports.
Author(s): Aubrey E. Jones, Jayme E. Walters, Aaron R. Brown
Citation: Journal of Appalachian Health, 4(3), 71-86
Date: 01/2023
Type: Document
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Exploring Rural-Based Professionals' and Community Stakeholders' Perceptions Towards the Uptake of Buprenorphine
Examines barriers and facilitators related to the uptake of buprenorphine in 7 southern Indiana counties. Discusses cultural issues impacting the perception of buprenorphine uptake, including stigma, transportation, education, collaboration, telehealth, and insurance.
Author(s): Josephine Njeri Mwangi
Date: 01/2023
Type: Document
Sponsoring organizations: Indiana Center for Rural Engagement, Indiana University's School of Public Health
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Examines barriers and facilitators related to the uptake of buprenorphine in 7 southern Indiana counties. Discusses cultural issues impacting the perception of buprenorphine uptake, including stigma, transportation, education, collaboration, telehealth, and insurance.
Author(s): Josephine Njeri Mwangi
Date: 01/2023
Type: Document
Sponsoring organizations: Indiana Center for Rural Engagement, Indiana University's School of Public Health
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I Don't Believe a Person Has to Die When Trying to Get High: Overdose Prevention and Response Strategies in Rural Illinois
Examines overdose prevention and response of service providers and people who inject drugs in rural southern Illinois. Reports on interviews with 23 participants from August 2019 through February 2020 and discusses issues such as the growing presence of fentanyl, overdose prevention, overdose reversal, harm reduction education, and more.
Author(s): Suzan M. Walters, Marisa Felsher, David Frank, et al.
Citation: International Journal of Environmental Research and Public Health, 20(2), 1648
Date: 01/2023
Type: Document
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Examines overdose prevention and response of service providers and people who inject drugs in rural southern Illinois. Reports on interviews with 23 participants from August 2019 through February 2020 and discusses issues such as the growing presence of fentanyl, overdose prevention, overdose reversal, harm reduction education, and more.
Author(s): Suzan M. Walters, Marisa Felsher, David Frank, et al.
Citation: International Journal of Environmental Research and Public Health, 20(2), 1648
Date: 01/2023
Type: Document
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Trends and Characteristics of Buprenorphine-Involved Overdose Deaths Prior to and During the COVID-19 Pandemic
Details a study evaluating the rates of buprenorphine-involved overdose deaths before the COVID-19 pandemic and during the pandemic when prescribing regulations were loosened. Compares overdose mortality rates involving buprenorphine in 2019 and 2021 and breaks down data by a number of demographic factors, including rural versus urban location.
Author(s): Lauren J. Tanz, Christopher M. Jones, Nicole L. Davis, et al.
Citation: JAMA Network Open, 6(1), e2251856
Date: 01/2023
Type: Document
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Details a study evaluating the rates of buprenorphine-involved overdose deaths before the COVID-19 pandemic and during the pandemic when prescribing regulations were loosened. Compares overdose mortality rates involving buprenorphine in 2019 and 2021 and breaks down data by a number of demographic factors, including rural versus urban location.
Author(s): Lauren J. Tanz, Christopher M. Jones, Nicole L. Davis, et al.
Citation: JAMA Network Open, 6(1), e2251856
Date: 01/2023
Type: Document
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2020 Rural Opioid Overdose Mortality
Highlights the rate of rural opioid overdose mortality in 2020 for several northern New England states and compares it to the national rate. Breaks down rates based on substances used as well.
Date: 01/2023
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Highlights the rate of rural opioid overdose mortality in 2020 for several northern New England states and compares it to the national rate. Breaks down rates based on substances used as well.
Date: 01/2023
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Telemedicine Use and Quality of Opioid Use Disorder Treatment in the US During the COVID-19 Pandemic
Results of a study of 1,768 clinicians treating 11,801 patients with opioid use disorder (OUD), to examine the association between telemedicine adoption during the COVID-19 pandemic and indicators of OUD treatment quality. Explores medications for OUD (MOUD) prescribing and OUD-related clinical events, including drug overdose, inpatient detoxification, and rehabilitation center stay. Features statistics including patient and clinician characteristics, with breakdowns by metropolitan, micropolitan, small town, and rural location.
Author(s): Ruth Hailu, Ateev Mehrotra, Haiden A. Huskamp, Alisa B. Busch, Michael L. Barnett
Citation: JAMA Network Open, 6(1)
Date: 01/2023
Type: Document
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Results of a study of 1,768 clinicians treating 11,801 patients with opioid use disorder (OUD), to examine the association between telemedicine adoption during the COVID-19 pandemic and indicators of OUD treatment quality. Explores medications for OUD (MOUD) prescribing and OUD-related clinical events, including drug overdose, inpatient detoxification, and rehabilitation center stay. Features statistics including patient and clinician characteristics, with breakdowns by metropolitan, micropolitan, small town, and rural location.
Author(s): Ruth Hailu, Ateev Mehrotra, Haiden A. Huskamp, Alisa B. Busch, Michael L. Barnett
Citation: JAMA Network Open, 6(1)
Date: 01/2023
Type: Document
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