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Rural Health
Resources by Topic: Substance use and misuse

Fighting Fentanyl: The Federal Response to a Growing Crisis
Presents the U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) hearing on the government's response to the fentanyl crisis. Includes testimonies from the Substance Abuse and Mental Health Administration (SAMHSA), National Center for Injury Prevention and Control, Health Resources and Services Administration (HRSA), and the Office of National Drug Control Policy regarding current efforts to address the expanding use of fentanyl across the U.S.
Additional links: Carole Johnson Testimony, Christopher Jones Testimony, Kemp Chester Testimony, Miriam E. Delphin-Rittmon Testimony
Date: 07/2022
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Responding to a Surge in Overdose Deaths: Perspectives From US Syringe Services Programs
Highlights a study on the perspectives of syringe service program (SSP) leadership and staff regarding overdose deaths in the US. Bases conclusions on interviews done from February to March of 2021 and breaks down participant data by geographic region, distribution approach, and rurality, among others factors.
Author(s): Madeline C. Frost, Elizabeth J. Austin, Maria A. Corcorran, et al.
Citation: Harm Reduction Journal, 19, 79
Date: 07/2022
Type: Document
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Urban–Rural Differences in Drug Overdose Death Rates, 2020
Examines 2020 drug overdose deaths by sex, race and ethnicity, and type of drug, with data broken down by rural versus urban county status. Includes a U.S. map that depicts if overall urban or rural counties in a state have a higher rate of age-adjusted overdose death.
Additional links: STATCAST Podcast Episode
Author(s): Merianne Rose Spencer, Matthew F. Garnett, Arialdi M. Miniño
Date: 07/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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UVM CORA Community Rounds: Strategies for Distributing Naloxone to Rural Communities
Webinar recording discusses rural opioid overdoses and methods for distributing naloxone to prevent overdoses. Explores the use of data, technology, and working with emergency services partners to deliver naloxone to people at risk of overdosing, among other factors.
Additional links: Webinar Slides
Author(s): Geoff Capraro, Brooke A. Lawrence
Date: 07/2022
Type: Video/Multimedia
Sponsoring organization: University of Vermont Center on Rural Addiction
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Wiping Away the Tears: Addressing Increasing Death in Rural America
Examines rural mortality trends and discusses the impact of the opioid epidemic and COVID-19 pandemic, as well as rural maternal and infant mortality. Describes federally-funded efforts to address rural disparities.
Author(s): Whitney Zahnd
Citation: Rural Monitor
Date: 07/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Introduction to Improving Telehealth and Virtual Care for Pain Management and Opioid/ Substance Use Disorder
Presents the proceedings of a meeting discussing the use of telehealth and virtual care to treat substance use disorder (SUD), opioid use disorder (OUD), and to monitor pain management. Highlights the effect the COVID-19 pandemic on telehealth use, regulation, and reimbursement. Features considerations for rural communities.
Date: 06/2022
Type: Document
Sponsoring organization: National Academy of Medicine
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Rural Health in Connecticut A Comprehensive Review of Social Determinants, Community Resources, Health Outcomes, and Wellbeing
Documents the nature of public health for Connecticut's rural populations with a focus on trends, to understand how these populations are changing. Features chapters on social determinants of health, healthcare systems, health risks and behaviors, and health outcomes.
Author(s): Kelly Davila, Camille Seaberry
Date: 06/2022
Type: Document
Sponsoring organization: DataHaven
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Community Engagement: An Essential Component of an Effective and Equitable Substance Use Prevention System
Describes the role of community engagement for tribal, urban, suburban, and rural communities when developing equitable evidence-based programs and policies supporting substance use prevention programs. Discusses research focused on community engagement activities and outcomes, hands-on strategies derived from participation in community engagement, and evaluation as part of the planning and implementation process. Presents examples of how community engagement facilitates substance use prevention systems in rural and tribal communities.
Date: 06/2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Behavioral Health and Primary Care Integration in Rural Health Facilities: Policy Brief and Recommendations to the Secretary
Provides an overview of the prevalence of mental illness and substance use disorders in rural areas. Discusses the role of rural primary care providers in treating these conditions. Outlines federal programs and resources to support behavioral health and primary care integration. Offers policy recommendations related to access to care; workforce recruitment and retention; telehealth, technology, and broadband; and reimbursement and sustainable revenue.
Date: 06/2022
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Behavioral Healthcare Organizations' Experiences Related to Use of Telehealth as a Result of the COVID-19 Pandemic: An Exploratory Study
Study examining the experiences of substance use disorder (SUD) and mental health treatment service providers with telehealth based on surveys of 391 individuals on behalf of their organizations. Describes COVID-related experiences with telehealth, general telehealth experiences, and recommendations for continued telehealth delivery, including rural-specific insights and concerns.
Author(s): Abby Kisicki, Sara Becker, Michael Chaple, et al.
Citation: BMC Health Services Research, 22, 775
Date: 06/2022
Type: Document
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