Rural Health
Resources by Topic: Substance use and misuse
Guide for Future Directions for the Addiction and OUD Treatment Ecosystem
Details strategies for addressing the opioid use epidemic and improving the current addiction treatment ecosystem. Breaks down the strategies by capacity, competency, consistency, and compensation. Discusses some of the barriers to treating opioid use disorder in rural areas.
Author(s): R. Corey Waller, Kelly J. Clark, Alex Woodruff, et al.
Date: 04/2021
Type: Document
Sponsoring organization: National Academy of Medicine
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Details strategies for addressing the opioid use epidemic and improving the current addiction treatment ecosystem. Breaks down the strategies by capacity, competency, consistency, and compensation. Discusses some of the barriers to treating opioid use disorder in rural areas.
Author(s): R. Corey Waller, Kelly J. Clark, Alex Woodruff, et al.
Date: 04/2021
Type: Document
Sponsoring organization: National Academy of Medicine
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The Opioid Epidemic: A Geography in Two Phases
Examines population and geographic data on 2 phases of the U.S. opioid epidemic. Examines the association between overdose deaths and chronic pain, physical disability rates, and economic hardship. Discusses the shift from overdose mortality associated with prescription opioids to illicit and synthetic opioids in the early 2010s, including in rural areas and the Northeastern U.S.
Additional links: Report Summary
Author(s): David A. McGranahan, Timothy S. Parker
Date: 04/2021
Type: Document
Sponsoring organization: USDA Economic Research Service
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Examines population and geographic data on 2 phases of the U.S. opioid epidemic. Examines the association between overdose deaths and chronic pain, physical disability rates, and economic hardship. Discusses the shift from overdose mortality associated with prescription opioids to illicit and synthetic opioids in the early 2010s, including in rural areas and the Northeastern U.S.
Additional links: Report Summary
Author(s): David A. McGranahan, Timothy S. Parker
Date: 04/2021
Type: Document
Sponsoring organization: USDA Economic Research Service
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Addressing Opioid-Related Outcomes Among Individuals With Co-Occurring Behavioral Health Conditions: An Environmental Scan of Quality Measures
Presents the results of an environmental scan of healthcare quality measures relevant to addressing polysubstance use among individuals with co-occurring behavioral health conditions. Includes information on access to buprenorphine providers in rural communities.
Date: 04/2021
Type: Document
Sponsoring organization: National Quality Forum
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Presents the results of an environmental scan of healthcare quality measures relevant to addressing polysubstance use among individuals with co-occurring behavioral health conditions. Includes information on access to buprenorphine providers in rural communities.
Date: 04/2021
Type: Document
Sponsoring organization: National Quality Forum
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Expanding Access to Methadone Treatment in Ohio Through Federally Qualified Health Centers and a Chain Pharmacy: A Geospatial Modeling Analysis
Examines the provision of methadone at opioid treatment programs (OTP) in Ohio. Compares how well existing OTPs meet the need for opioid use disorder treatment by urban-rural classification. Explores how expanding methadone administration to Federally Qualified Health Centers (FQHCs) could expand access to OUD treatment in urban and rural areas.
Author(s): Suzan Iloglu, Paul J. Joudrey, Emily A. Wong, Thomas A. Thornhill, Gregg Gonsalves
Citation: Drug and Alcohol Dependence, 220, 108534
Date: 03/2021
Type: Document
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Examines the provision of methadone at opioid treatment programs (OTP) in Ohio. Compares how well existing OTPs meet the need for opioid use disorder treatment by urban-rural classification. Explores how expanding methadone administration to Federally Qualified Health Centers (FQHCs) could expand access to OUD treatment in urban and rural areas.
Author(s): Suzan Iloglu, Paul J. Joudrey, Emily A. Wong, Thomas A. Thornhill, Gregg Gonsalves
Citation: Drug and Alcohol Dependence, 220, 108534
Date: 03/2021
Type: Document
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Mississippi Primary Care Needs Assessment
Identifies Mississippi communities with the greatest unmet healthcare needs and offers recommendations for allocating resources, managing shortage designations, and coordinating the recruitment and retention of healthcare professionals. Includes sections on social determinants of health, Health Professional Shortage Areas, Graduate Medical Education, and workforce development. Features statistics on various diseases and health conditions.
Date: 03/2021
Type: Document
Sponsoring organizations: Mississippi Office of Rural Health, Mississippi State Department of Health
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Identifies Mississippi communities with the greatest unmet healthcare needs and offers recommendations for allocating resources, managing shortage designations, and coordinating the recruitment and retention of healthcare professionals. Includes sections on social determinants of health, Health Professional Shortage Areas, Graduate Medical Education, and workforce development. Features statistics on various diseases and health conditions.
Date: 03/2021
Type: Document
Sponsoring organizations: Mississippi Office of Rural Health, Mississippi State Department of Health
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New Hampshire Statewide Primary Care Needs Assessment
Identifies the New Hampshire communities with the greatest unmet healthcare needs, disparities, and health workforce shortages, and also identifies the key barriers to accessing healthcare for these communities. Features statistics on demographics, barriers to care, workforce, preventive care, substance use and mental health, maternal health, and outcomes, with breakdowns by rural and nonrural locations. Data in this report represents the New Hampshire landscape from 2013-2019, prior to COVID-19 impacts.
Date: 03/2021
Type: Document
Sponsoring organization: New Hampshire Rural Health & Primary Care
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Identifies the New Hampshire communities with the greatest unmet healthcare needs, disparities, and health workforce shortages, and also identifies the key barriers to accessing healthcare for these communities. Features statistics on demographics, barriers to care, workforce, preventive care, substance use and mental health, maternal health, and outcomes, with breakdowns by rural and nonrural locations. Data in this report represents the New Hampshire landscape from 2013-2019, prior to COVID-19 impacts.
Date: 03/2021
Type: Document
Sponsoring organization: New Hampshire Rural Health & Primary Care
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Vermont Baseline Needs Assessment: Rural Practitioners and Community Stakeholders
Report details a needs assessment of Vermont's rural practitioners' capacity to treat substance use disorder (SUD). Breaks down workforce distribution by county and highlights their concern about various substances encountered in their practices. Discusses the need for consultation, resources, training, and technical assistance to facilitate SUD treatment.
Additional links: Report Summary
Date: 03/2021
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Report details a needs assessment of Vermont's rural practitioners' capacity to treat substance use disorder (SUD). Breaks down workforce distribution by county and highlights their concern about various substances encountered in their practices. Discusses the need for consultation, resources, training, and technical assistance to facilitate SUD treatment.
Additional links: Report Summary
Date: 03/2021
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Colorado: Rural Substance Use Disorder Facilities, 2020
Map shows the number and distribution of substance use disorder treatment facilities by type of facility and county in Colorado.
Date: 03/2021
Type: Map/Mapping System
Sponsoring organization: Colorado Rural Health Center
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Map shows the number and distribution of substance use disorder treatment facilities by type of facility and county in Colorado.
Date: 03/2021
Type: Map/Mapping System
Sponsoring organization: Colorado Rural Health Center
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An Examination of Telehealth Policy Impacts on Initial Rural Opioid Use Disorder Treatment Patterns During the COVID‐19 Pandemic
Explores changes in the patterns of medication for opioid use disorder (MOUD) in western North Carolina during the COVID-19 pandemic. Examines the impact of telehealth policy changes during the pandemic on the patient population seen for MOUD, access to MOUD services for rural patients, overall MOUD clinic volume, and changes to the provision of MOUD.
Author(s): Phillip M. Hughes, Genevieve Verrastro, Carriedelle Wilson Fusco, Courtenay Gilmore Wilson, Bayla Ostrach
Citation: Journal of Rural Health, 37(3), 467-472
Date: 03/2021
Type: Document
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Explores changes in the patterns of medication for opioid use disorder (MOUD) in western North Carolina during the COVID-19 pandemic. Examines the impact of telehealth policy changes during the pandemic on the patient population seen for MOUD, access to MOUD services for rural patients, overall MOUD clinic volume, and changes to the provision of MOUD.
Author(s): Phillip M. Hughes, Genevieve Verrastro, Carriedelle Wilson Fusco, Courtenay Gilmore Wilson, Bayla Ostrach
Citation: Journal of Rural Health, 37(3), 467-472
Date: 03/2021
Type: Document
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Urban–Rural Differences in Drug Overdose Death Rates, 1999–2019
Examines age-adjusted drug overdose deaths in urban and rural counties. Includes urban-rural data on overdose deaths overall and for selected types of opioids and stimulants from 1999 through 2019. Identifies states with higher overdose deaths in rural counties, higher rates in urban counties, and states with no significant difference between rural and urban overdose death rates.
Author(s): Holly Hedegaard, Merianne Rose Spencer
Date: 03/2021
Type: Document
Sponsoring organization: National Center for Health Statistics
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Examines age-adjusted drug overdose deaths in urban and rural counties. Includes urban-rural data on overdose deaths overall and for selected types of opioids and stimulants from 1999 through 2019. Identifies states with higher overdose deaths in rural counties, higher rates in urban counties, and states with no significant difference between rural and urban overdose death rates.
Author(s): Holly Hedegaard, Merianne Rose Spencer
Date: 03/2021
Type: Document
Sponsoring organization: National Center for Health Statistics
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