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Rural Health
Resources by Topic: Substance use and misuse

The Path to Coordinated Federal Leadership to Strengthen Primary Health Care
Discusses the potential of a Secretary's Council on Primary Care within the U.S. Department of Health and Human Services. Describes primary care's role in addressing policy challenges related to health equity, payment, workforce training, pandemic recovery and resilience, the opioid crisis, and mental health. Offers recommendations to include and strengthen high-quality primary care as part of a long-term vision of a high-value healthcare system. Includes rural references throughout.
Author(s): Robert L. Phillips Jr., Christopher Koller, Alice Hm Chen
Date: 11/2022
Type: Document
Sponsoring organization: Milbank Memorial Fund
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QuickStats: Age-Adjusted Rates of Alcohol-Induced Deaths, by Urban-Rural Status — United States, 2000–2020
Line chart showing rural and urban alcohol-induced death rates.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(44), 1425
Date: 11/2022
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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Social Media and Use of Electronic Nicotine Delivery Systems among School-Going Adolescents in a Rural Distressed Appalachian Community
Evaluates the influence of social media engagement on electronic nicotine delivery system (ENDS) use among 399 8th and 9th grade students in a rural Appalachian county in Tennessee. Provides data on current and ever ENDS use, social media use by type of platform, use of social media to discuss ENDS, attitudes toward ease of ENDS access and danger to health, parental advice against tobacco use, and participant demographics.
Author(s): H.M. Mamudu, C.A. Nwabueze, J.S. Yang, et al.
Citation: Preventive Medicine Reports, 29, 101953
Date: 10/2022
Type: Document
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Opioid Abuse among Rural Adults
Examines the impact of the opioid abuse epidemic among rural adults in 2022 and changes since 2017. Covers rural access to mental health treatment, how comfortable rural adults with opioid addiction are discussing their concerns with others, perceptions of opioid abuse and its causes, and potential solutions to the opioid crisis.
Date: 10/2022
Type: Document
Sponsoring organization: American Farm Bureau Federation
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Evidence Brief: Safety and Effectiveness of Telehealth-Delivered Mental Health Care
Presents an overview of research evidence on the safety and effectiveness of telehealth-based mental healthcare for veterans. Discusses outcomes and studies of telehealth treatment for posttraumatic stress disorder (PTSD), depression, anxiety, substance use, and multiple mental health conditions.
Additional links: Supplemental Materials
Author(s): E.H. Beech, S. Young, J.K. Anderson, B.E. Belsher, N.J. Parr
Date: 10/2022
Type: Document
Sponsoring organization: U.S. Department of Veterans Affairs
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Use of and Retention on Video, Telephone, and In-Person Buprenorphine Treatment for Opioid Use Disorder During the COVID-19 Pandemic
Examines modality of treatment delivery for patients with opioid use disorder (OUD) and how various modalities are associated with 90-day patient retention. Analyzes 17,182 Veterans Health Administration (VHA) patients who received buprenorphine for OUD treatment from March 2020 to March 2021 by video, telephone, in-person care, or a combination of the modalities. Includes data broken down by age, sex, race/ethnicity, VHA eligibility, housing status, substance use, mental health, comorbidities, and rurality, including urban, large rural, small/isolated rural, and unknown location.
Author(s): Madeline C. Frost, Lan Zhang, H. Myra Kim, Lewei (Allison) Lin
Citation: JAMA Network Open, 5(10), e2236298
Date: 10/2022
Type: Document
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Association of Co-Occurring Mental Health Problems with Hepatitis C Status among Young People Who Inject Drugs in Rural New Mexico, 2016–2018
Study examining mental health problems and hepatitis C virus (HCV) for young adult people who inject drugs (PWID) in 2 rural New Mexico counties. Analyzes data from a parent study of 263 patients, discussing implications for addiction treatment and HCV prevention in rural settings.
Author(s): Akash Gupta, Fatma M. Shebl, Yao Tong, et al.
Citation: Addiction Science and Clinical Practice, 17, 58
Date: 10/2022
Type: Document
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The 24/7 Sobriety Program's Effects on Impaired Drivers in North Dakota: 2014-2021
Reports on the 24/7 Sobriety Program's effectiveness in preventing recidivism in alcohol-impaired drivers. Includes an overview of the program and its strategies, information on participants, and program entries and violations broken down by rural versus urban county.
Author(s): Kimberly Vachal, Yun Zhou
Date: 09/2022
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Wisconsin's State Opioid Response 2 Grant Program and Client Overview
Analyzes data provided by clients who completed State Opioid Response (SOR-2) interviews from September 2020 through July 2022 and engaged with the grant's mission to expand treatment and improve access to opioid and substance use disorder (SUD) treatment. Reports on grant activities including implementation and expansion of opioid treatment, opiate treatment centers (OTC), opioid treatment services (OTS), emergency department (ED) induction/mobile unit, and unmet treatment needs, with county-level data provided.
Date: 09/2022
Type: Document
Sponsoring organization: University of Wisconsin Population Health Institute
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Texas Statewide Behavioral Health Strategic Plan, Fiscal Years 2022-2026
5-year plan assessing the state of the behavioral health system in Texas and presenting goals and strategies related to mental health and substance use services. Outlines plans related to justice-involved people, forensic services, and highlights successes by the Statewide Behavioral Health Coordinating Council. Discusses rural concerns and programs throughout.
Date: 09/2022
Type: Document
Sponsoring organization: Texas Health and Human Services
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