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Rural Health
Resources by Topic: Substance use and misuse

Stigma Experienced by Rural Pregnant Women with Substance Use Disorder: A Scoping Review and Qualitative Synthesis
Explores the stigma experienced by rural pregnant women with substance use disorder (SUD). Bases findings on a literature review of studies from 2000-2022. Breaks down the various ways and areas rural pregnant women with SUD experience stigma, such as within the community and healthcare settings. Discusses the importance of comprehensive care that takes these experiences into consideration.
Author(s): Victoria Bright, Julia Riddle, Jean Kerver
Citation: International Journal of Environmental Research and Public Health, 19(22), 15065
Date: 2022
Type: Document
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Adapting Evidence-Based Practices for Under-Resourced Populations
Describes various methods of adapting evidence-based practices (EBPs) to meet the needs of populations who experience barriers in receiving behavioral health services due to a variety of factors including race, ethnicity, geography, income, sexual orientation, and disability. Offers guidance on implementing adapted EBPs with examples for behavioral health professionals, administrators, researchers, and others involved with helping individuals in need of mental health and substance use disorder services.
Date: 2022
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Family-Focused Interventions to Prevent Substance Use Disorders in Adolescence
Proceedings from a workshop exploring barriers to and opportunities for implementing interventions and highlighting efforts to incorporate interventions into statewide healthcare strategies. Includes sections on interventions in healthcare settings, program implementation, federal agency perspectives, and possible future directions. Mentions initiatives geared toward tribal communities.
Additional links: Read Online
Author(s): Division of Behavioral and Social Sciences and Education
Date: 2022
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Tobacco Where You Live: Native Communities
Report focuses on tobacco use in American Indian and Alaska Native communities. Differentiates traditional uses of tobacco from commercial use and highlights strategies for highlighting this difference to reduce rates of commercial tobacco use.
Date: 2022
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Methadone Treatment for Opioid Use Disorder: Improving Access through Regulatory and Legal Change: Proceedings of a Workshop
Offers proceedings from the March 2022 workshop, Methadone Treatment for Opioid Use Disorder: Examining Federal Regulations and Laws. Covered topics include personal perspectives on methadone treatment, access and barriers to access for rural and other underserved populations, and federal policies and regulatory flexibilities during the COVID-19 pandemic.
Additional links: Read Online
Author(s): Board on Health Sciences Policy, Board on Health Care Services
Date: 2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Sex Trafficking and Substance Use: Identifying High-Priority Needs Within the Criminal Justice System
Summarizes proceedings from a workshop that examines the overlap of sex trafficking and substance use disorders (SUDs) to provide victim-centered and trauma-informed services. Discusses policies and stigma surrounding SUDs and the barriers for marginalized victims who try to access services. Provides commentary on the increased needs of rural and nonmetropolitan communities.
Author(s): Lynn Langton, Michael G. Planty, Duren Banks, et al.
Date: 2022
Type: Document
Sponsoring organization: RAND Corporation
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Key Findings from RAND Health Care Research on Telehealth Policy
Brief examining the implications of telehealth policy for emergency response, treatment for substance use disorder and opioid use disorder, access to care for service members and rural populations, and healthcare equity.
Author(s): Lori Uscher-Pines, Shira H. Fischer
Date: 2022
Type: Document
Sponsoring organization: RAND Corporation
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Community-Based Medication Disposal Pilot Initiative in Southwest Tribal Communities
Describes a public health pilot project testing a community-based prescription drug disposal system in tribal communities to increase awareness about the dangers of prescription drug accumulation in the home resulting in misuse and abuse of prescription drugs, and to improve drug disposal practices. Project provided drug deactivation bags for in-home use, and medication drop boxes were available in 29 healthcare facilities in mostly rural areas of Arizona, Minnesota, Nevada and Oklahoma.
Author(s): Isaac Ampadu, Robert Morones, Andrea Tsatoke, et al.
Citation: Injury Epidemiology, 8(Suppl 2), 67
Date: 12/2021
Type: Document
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State Policy Changes Could Increase Access to Opioid Treatment via Telehealth
Issue brief discussing barriers to opioid use disorder (OUD) treatment via telehealth and policy recommendations to support telehealth, including reimbursement and regulatory policies. Discusses issues of broadband access, infrastructure, and data collection in relation to telehealth implementation.
Date: 12/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Opioid Use Disorder: Opportunities to Improve Assessments of State Opioid Response Grant Program
Provides an overview of the Substance Abuse and Mental Health Services Administration (SAMHSA) State Opioid Response (SOR) grant program and examines how SAMHSA assesses the program. Offers recommendations to SAMHSA to identify potential limitations in its analyses and provide a more comprehensive assessment of the program to identify opportunities for improvement. Includes SOR grant funding awards by state for fiscal years 2020 and 2021.
Additional links: Full Report
Date: 12/2021
Type: Document
Sponsoring organization: Government Accountability Office
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