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Rural Health
Resources by Topic: Substance use and misuse

Maine Baseline Needs Assessment: Opioid Use Disorder Treatment Barriers and Beliefs
Shares the results of a survey of healthcare providers in rural Maine regarding practitioner-related barriers, patient-related barriers, and practitioner beliefs about treating patients with opioid use disorder (OUD).
Date: 02/2022
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Maine Baseline Needs Assessment: Rural Practitioners and Stakeholders
Report on the details of a needs assessment of Maine's rural practitioners' regarding their current and future substance use disorder (SUD) treatment needs. Identifies barriers providers and community stakeholders experience when providing treatment for opioid use disorder (OUD) in rural Maine.
Date: 02/2022
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Meeting the Behavioral Health Needs of Farm Families in Times of Economic Distress
Offers strategies to support development and integration of behavioral health services across healthcare and community-based organizations, including leveraging payment systems to support coordinated care for farm families and aligning federal grant programs to address mental health and substance use disorders. Features recommendations including integrating primary and behavioral care for initial treatment of mental health and substance abuse concerns, expanding the workforce to improve rural behavioral health services capacity, increasing telehealth services, and expanding private and public insurance coverage.
Author(s): Andrew F. Coburn, Alva O. Ferdinand, Alana Knudson, et al.
Date: 02/2022
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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2022 Heart Disease & Stroke Statistical Update Fact Sheet: American Indian/Alaska Natives & Cardiovascular Diseases
Reports statistics on cardiovascular disease, coronary heart disease, stroke, and high blood pressure among American Indians and Alaska Natives. Includes data on smoking, physical inactivity, and diabetes.
Date: 01/2022
Type: Document
Sponsoring organization: American Heart Association
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Postmortem Screening of Opioids, Benzodiazepines, and Alcohol Among Rural and Urban Suicide Decedents
Presents a study comparing the co-use of opioids and other substances in opioid-related overdose suicides in rural and urban areas. Breaks down 2012-2015 data from the National Violent Death Reporting System (NVDRS) by toxicology reports, gender, race, and mental health history, among other factors.
Author(s): KM Bensley, William C Kerr, Sarah Beth Barnett, Nina Mulia
Citation: Journal of Rural Health, 38(1), 77-86
Date: 01/2022
Type: Document
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A Profile of Migrant Health: 2020 Uniform Data System Analysis
Analyzes the demographic, socioeconomic, and health characteristics of migrants from community and migrant health centers that receive funding through the U.S. Public Health Service Act, Section 330. Discusses common conditions faced by migrants, including COVID-19.
Date: 01/2022
Type: Document
Sponsoring organization: National Center for Farmworker Health
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A Pilot Study Examining Access to and Satisfaction with Maternal Mental Health and Substance Use Disorder Treatment via Telemedicine
Highlights a study on the role telemedicine plays in increasing access to mental health and substance use treatment for women who are pregnant or have recently given birth. The study received a high percentage of participants from rural areas and breaks down the demographic data by rural, as well as several other factors such as age, race, and diagnosis, to name a few.
Author(s): Constance Guille, Emily Johnson, Edie Douglas, et al.
Citation: Telemedicine Reports, 3(1), 24-29
Date: 01/2022
Type: Document
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Increasing Capacity for Treatment of Opioid Use Disorder in Rural Primary Care Practices
Examines strategies to improve the treatment of opioid use disorder (OUD) in primary care practices (PCPs) through the program Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado (IT MATTTRs). Reports on 42 PCPs who participated in IT MATTTRs over 20 months beginning in September 2017. Discusses program efficacy and potential impacts on OUD in rural areas.
Author(s): Linda Zittleman, Kristen Curcija, Donald E. Nease Jr, et al.
Citation: Annals of Family Medicine, 20(1), 18-23
Date: 01/2022
Type: Document
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Applications of Research Evidence During Processes to Acquire Approvals for Syringe Services Program Implementation in Rural Counties in Kentucky
Presents a study on the research used to implement syringe services programs (SSPs) for people who inject drugs (PWID) in rural counties in Kentucky. Discusses the methods used for applying SSP research to the program approval and implementation processes.
Author(s): Sean T. Allen, Suzanne M. Grieb, Jennifer L. Glick, et al.
Citation: Annals of Medicine, 54(1), 404–412
Date: 01/2022
Type: Document
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Integrating SUD and OB/GYN Care: Policy Challenges and Opportunities Final Report
Describes opportunities to integrate obstetrics and gynecology (OB/GYN) and substance use disorder (SUD) care to address treatment opportunities and reduce the impacts of SUD on mothers, children, and healthcare spending. Provides a review of literature on the effectiveness of integrated OB/GYN and SUD models, a scan of integrated models. Summarizes selected findings from subject matter experts on incentives for integrated OB/GYN and SUD models, as well as state and federal policy options to encourage the expansion of integrated OB/GYN and SUD care. Includes rural references throughout.
Author(s): Julie Seibert, Erin Dobbins, Elysha Theis, et al.
Date: 01/2022
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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