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Rural Health
Resources by Topic: Substance use and misuse

Barriers for Implementing the Hub and Spoke Model to Expand Medication for Opioid Use Disorder: A Case Study of Montana
Highlights a study of the barriers to the implementation of hub and spoke programs to provide treatment for opioid use disorder in rural Montana. Features data based on interviews with 65 programs that provide medication for opioid use disorder in Montana and discusses the barriers to their efforts.
Author(s): Brandn Green, Danielle Christine Rhubart, Matthew R Filteau
Citation: Substance Abuse: Research and Treatment, 15
Date: 08/2021
Type: Document
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Marijuana Use Among American Indian Youth in New Mexico 2019
Fact sheet covering marijuana use data for American Indian students in grades 6-12 based on the 2019 New Mexico Youth Risk and Resilience Survey (NM YRRS). Addresses trends in marijuana use, perception of risk, and factors associated with marijuana use broken down by middle and high school age groups.
Date: 08/2021
Type: Document
Sponsoring organization: Albuquerque Area Southwest Tribal Epidemiology Center
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Prevention, Treatment, and Recovery Innovations in Native American Communities
Report highlights the efforts of tribal programs to address opioid use disorder in their communities. Presents success stories of programs providing culturally competent treatment, prevention, and recovery for American Indian and Alaska Native communities in several states.
Date: 08/2021
Type: Document
Sponsoring organization: National American Indian and Alaska Native Addiction Technology Transfer Center
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Mobile Telemedicine for Buprenorphine Treatment in Rural Populations With Opioid Use Disorder
Results of a study conducted from June-October 2020 in Caroline County, Maryland, to evaluate the implementation of an initiative to extend access to telemedicine (TM) medications for opioid use disorder to rural communities, by bringing care via a TM mobile treatment unit (TM-MTU). Features demographics and statistics on opioid use during TM-MTU treatment.
Author(s): Eric Weintraub, Chamindi Seneviratne, Jessica Anane, et al.
Citation: JAMA Network Open, 4(8)
Date: 08/2021
Type: Document
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Mental Health and Substance Use Among Adults with Disabilities During the COVID-19 Pandemic — United States, February–March 2021
Examines symptoms of anxiety or depression, new or increased substance use, and suicidal ideation among adults with disabilities during the COVID-19 pandemic. Includes data for urban and rural locations.
Author(s): Mark É. Czeisler, Amy Board, JoAnn M. Thierry, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(34), 1142–1149
Date: 08/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Prescription Opioid Use Among Adults With Chronic Pain: United States, 2019
Study examining prescription opioid use to treat chronic pain in adults, breaking down data from the 2019 National Health Interview Survey by pain measures and demographics, including race/ethnicity, sex, veteran status, rurality, and more. Discusses trends in the data to identify population characteristics among users of prescription opioids, and addresses risk of prescription opioid misuse.
Author(s): James M. Dahlhamer, Eric M. Connor, Jonaki Bose, Jacqueline W. Lucas, Carla E. Zelaya
Citation: National Health Statistics Reports, 162, 1-8
Date: 08/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Emergence of Wasp Dope in Rural Appalachian Kentucky
Surveyed 278 Appalachian Kentucky adult residents between February 2018 and April 2019 that had used opioids or injected drugs in the previous 30 days about their use of "wasp dope," a drug made from insecticides. Discusses factors associated with wasp dope use. Includes break down of study participants by level of rurality.
Author(s): April M. Young, Melvin Livingston, Rachel Vickers-Smith, Hannah L.F. Cooper
Citation: Addiction, 116(7), 1901-1907
Date: 07/2021
Type: Document
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Innovations in Overdose Response: Strategies Implemented by Emergency Medical Services Providers
Reports on the findings of an environmental scan conducted in collaboration with the National Association of EMS Officials looking for new and promising overdose response strategies for state and local EMS providers to increase access to treatment and recovery services. Discusses sharing data for public health surveillance and response, building system-wide partnerships, administering buprenorphine, developing post-overdose response teams, utilizing mobile integrated health clinics, and implementation barriers to be considered.
Date: 07/2021
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Perceptions of Diseases of Despair by Members of Rural and Urban High-Prevalence Communities: A Qualitative Study
Reports on a study of community perceptions of despair-related illnesses based on 4 focus groups of 60 patients from 1 urban and 2 rural census blocks in central Pennsylvania where diseases of despair (DoD) are prevalent. Discusses perceived causes of DoD, such as economic instability, substance misuse, and fragmented family life; and intervention strategies at the community, local, and state level.
Author(s): Daniel R. George, Bethany Snyder, Lauren J. Van Scoy, et al.
Citation: JAMA Network Open, 4(7), e2118134
Date: 07/2021
Type: Document
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DATA 2000 Waiver Training Payment Program
Recording of a July 29, 2021, webinar providing technical assistance for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) applying for the Drug Addiction Treatment Act of 2000 (DATA 2000) Waiver Training Payment Program. Identifies organizations' eligibility to apply for payments and discusses the application process and requirements. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 07/2021
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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