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Rural Health
Resources by Topic: Substance use and misuse

Challenges of Addressing Opioid Use Disorder in Rural Settings: A State Perspective
Highlights a study on evidence-based approaches to addressing rural opioid/substance use disorder (OUD/SUD) treatment, prevention, and recovery that can be applied at the state level. Presents 5 different considerations for addressing rural OUD/SUD and uses Maine as an example.
Author(s): Lisa M.Letourneau
Citation: Preventive Medicine, 152(2)
Date: 11/2021
Type: Document
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Peer-Based Recovery Support Services Delivered at Recovery Community Organizations
Discusses the efficacy of peer-based recovery support programs in rural communities. Features a study on peer-based recovery support services are used in conjunction with clinical treatment for substance use disorder.
Date: 11/2021
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Traditional Cigarette and Poly-Tobacco Use Are Associated with Medical Opioid Use in Rural Areas of the US
Examines tobacco use and medical opioid use for rural populations based on 2019 National Health Interview Survey data. Describes the association between cigarette use and odds of medical opioid use, noting the potential impacts of tobacco cessation interventions on reducing opioid use.
Author(s): Mariaelena Gonzalez, Ashley Sanders-Jackson
Citation: International Journal of Environmental Research and Public Health, 18(22), 11864
Date: 11/2021
Type: Document
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QuickStats: Percentage of Births to Mothers Who Reported Smoking Cigarettes at Any Time During Pregnancy, by Urbanization Level of County of Residence — United States, 2020
Bar chart showing the percentage of women who reported smoking cigarettes at any time during pregnancy for metropolitan, micropolitan, and noncore (rural) areas.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(47), 1652
Date: 11/2021
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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Assessment of State and Federal Health Policies for Opioid Use Disorder Treatment During the COVID-19 Pandemic and Beyond
Examines state-level policy data from government and nonprofit agencies related to treatment access and treatment retention for patients with Opioid Use Disorder (OUD) during the COVID-19 pandemic. Describes policy changes affecting telehealth coverage, delivery, and payment; issues of licensing and security; and the initiation and dispensing of treatment medications.
Author(s): Seema Chosky Pessar, Anne Boustead, Yimin Ge, Rosanna Smart, Rosalie Liccardo Pacula
Citation: JAMA Health Forum, 2(11), e213833
Date: 11/2021
Type: Document
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Improving Health in Rural Communities: FY 2021 Year in Review
Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2021. Focuses on 10 priority areas: COVID-19, Federally-facilitated and State Marketplaces; Medicare payment and policy; practitioner workforce; Medicaid and Children's Health Insurance Program (CHIP) enrollment, payment, and policy; long-term services and supports; maternal health; mental health and substance use disorders; models and demonstrations, and quality and equity.
Date: 11/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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COVID-19 and the Rural Opioid Epidemic: Recommendations to Improve Health in Illinois
Examines the rural opioid epidemic in Illinois and offers policy recommendations to increase access to Medications for Opioid Use Disorder (MOUD) centers, engaging populations involved with the criminal justice system, and expanding harm reduction services. Offers data on state opioid fatality rates with rural and urban comparisons and monthly mortality rates based on state Department of Public Health data. Discusses the impact of the COVID-19 pandemic on the opioid epidemic.
Date: 11/2021
Type: Document
Sponsoring organizations: SIU Medicine Center for Rural Health and Social Service Development, SIU Paul Simon Public Policy Institute, Southern Illinois University Medicine Department of Population Science and Policy, University of Illinois Chicago School of Public Health
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Grantee Spotlight: Building Capacity for Tribal Health Providers to Deliver OUD Treatment in Rural Alaska
Profile features the Alaska Native Tribal Health Consortium and discusses its work supporting providers and organizations who provide treatment for opioid use disorder (OUD) in tribal communities in Alaska. Highlights some of the barriers to OUD treatment in rural Alaska and the methods used to overcome them.
Date: 11/2021
Type: Document
Sponsoring organizations: Alaska Native Tribal Health Consortium, Foundation for Opioid Response Efforts (FORE)
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Improving Methadone Access for Rural Communities in the USA: Lessons Learned from Covid-19 Adaptations and International Models of Care
Explores the effect of changes to methadone treatment protocols for opioid use disorder in response to the COVID-19 pandemic on access to treatment in rural areas. Discusses telehealth, dispensing schedules, and distribution models before and during the pandemic.
Author(s): Jamey J Lister, Holly H Lister
Citation: Rural and Remote Health, 21(4)
Date: 11/2021
Type: Document
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Supporting Telehealth and Technology-Assisted Services for People Who Use Drugs: A Resource Guide
Offers policy, training, and planning resources for Substance Use Disorder treatment providers, harm reduction organizations, and others looking to implement telehealth and technology-assisted services to improve the health and wellness of people who use drugs. Discusses participant barriers to accessing technology, including rural-specific challenges, and describes rural initiatives among other case studies.
Date: 11/2021
Type: Document
Sponsoring organization: National Council for Mental Wellbeing
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