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Rural Health
Resources by Topic: Substance use and misuse

Contraception and Healthcare Utilization by Reproductive-Age Women Who Use Drugs in Rural Communities: a Cross-Sectional Survey
Study examining contraceptive use by women aged 18-49 in rural areas, comparing overall rates of contraceptive use to those of women who use opioid and/or non-opioid injection drugs. Analyzes data from the Rural Opioids Initiative (ROI) and the National Survey of Family Growth (NSFG). Discusses the study's implications for access to services, targeted interventions, and testing for infectious diseases.
Author(s): Ximena A. Levander, Canyon A. Foot, Sara L. Magnusson, et al.
Citation: Journal of General Internal Medicine
Date: 06/2022
Type: Document
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Medicaid & State Telehealth Policy – Medicaid Telehealth Policy & Substance Use Disorder
Webinar covering state and federal Medicaid telehealth policy for the treatment of substance use disorder (SUD). Offers an overview of telehealth, its expansion during the COVID-19 pandemic, and its application in SUD treatment with examples from Arkansas and Philadelphia. Also covers research on disparities in drug-related mortality and access to treatment during the pandemic. Captions are available by clicking "CC" at the bottom of the video pane.
Additional links: Presentation Slides
Date: 06/2022
Type: Video/Multimedia
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Introduction to Improving Telehealth and Virtual Care for Pain Management and Opioid/Substance Use Disorder
Summarizes a meeting of the Pain Management Guidelines and Evidence Standards (PM) and Prevention, Treatment, and Recovery Services (PTR) Working Groups of the National Academy of Medicine's Action Collaborative on Countering the U.S. Opioid Epidemic. Discusses telehealth flexibilities during the COVID-19 public health emergency, telehealth use for pain management, and telehealth-based treatment of opioid and substance use disorders.
Date: 06/2022
Type: Document
Sponsoring organization: National Academy of Medicine
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Recent Trends in Mental Health and Substance Use Concerns Among Adolescents
Report highlights the state of adolescent mental health and substance use across the country. Breaks down rates of suicides, drug use, drug-related deaths, and other behavioral health issues by race, sex, and sexual orientation, as well as by rurality.
Author(s): Nirmita Panchal, Robin Rudowitz, Cynthia Cox
Date: 06/2022
Type: Document
Sponsoring organization: KFF
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State of the State: An Update on Illinois' Opioid Statistics
Presents Illinois opioid statistics as well as national statistics. Includes 2019-2021 Illinois opioid fatality rate by rural, small urban, suburban, and urban county. Presents statewide overdose data by substance type as well as specifically opioid overdose data by user age and user race/ethnicity.
Author(s): Jennifer Epstein
Date: 06/2022
Type: Presentation Slides
Sponsoring organization: Illinois Department of Public Health
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On the Farm
Documentary miniseries explores mental health and substance misuse on the American farm. Discusses the factors that contribute to psychological stress and substance use in farm families. Features interviews with experts as well as farmers and their families.
Additional links: Film Website
Date: 06/2022
Type: Video/Multimedia
Sponsoring organization: Mississippi State University
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Characteristics of Adults Aged ≥18 Years Evaluated for Substance Use and Treatment Planning — United States, 2019
Examines past 30-day substance use patterns for alcohol, cannabis, cocaine, illicit stimulants, heroin, illicit fentanyl, prescription opioid misuse, prescription stimulant misuse, and prescription sedative, tranquilizer, and sleeping pill use. Also looks at the severity of problems experienced in these areas: alcohol, drug, employment, family, legal, medical, and psychiatric issues. Includes data for metropolitan, micropolitan, and rural areas.
Author(s): Akadia Kacha-Ochana, Christopher M. Jones, Jody L. Green, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(23), 749-756
Date: 06/2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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A Rural Community's Perspective on the Causes of and Solutions to the Opioid Crisis in Southern Virginia: A Qualitative Study
Results of a study to gain insight into the perceptions, knowledge, and experiences of members of a southern Virginia rural community affected by the opioid crisis, to inform the development of local strategies to address the problem. Examines barriers and facilitators to treatment programs and offers recommendations for targeting populations at risk.
Author(s): Angelina J. Hargrove, Carlin Rafie, Emily Zimmerman, Dawn E. Moser
Citation: Rural and Remote Health, 22(2), 7152
Date: 06/2022
Type: Document
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The COVID-19 Pandemic: Reversing 20 Years of Rural Mortality Improvement
Slides that present disparities in COVID-19 mortality according to race/ethnicity and rural versus urban populations. Tracks changing mortality data from 1999 to 2020 for chronic diseases and behavioral health issues, such as cancer, diabetes, suicide, substance abuse, and unintentional accidents.
Author(s): Janice C. Probst, Elizabeth Crouch, Christina Andrews
Date: 05/2022
Type: Presentation Slides
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Pain in the Nation: The Epidemics of Alcohol, Drug, and Suicide Deaths - Special Feature: Two Decades of the Drug Overdose Crisis
Highlights the rates of drug, alcohol, and suicide deaths in the U.S. in 2020 and from 1999 to 2020. Explores the effect of the COVID-19 pandemic on deaths of despair and the state of the ongoing opioid crisis. Breaks down data by age, region, and rurality, among other measures.
Date: 05/2022
Type: Document
Sponsoring organization: Trust for America's Health
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