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Rural Health
Resources by Topic: Substance use and misuse

Missouri Maternal-Infant Health: State and Regional Actions Impacting Care Delivery and Health Outcomes
Provides an overview of maternal and infant morbidity/mortality in Missouri. Profiles regional and state-wide efforts to address the drivers of severe maternal morbidity and mortality and improve maternal and infant health outcomes, including rural-specific projects.
Author(s): Reggi Rideout, Sue Kendig, Alison Williams
Date: 2021
Type: Document
Sponsoring organization: Missouri Hospital Association
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Exploring the Role of Health Centers in Providing Medication-assisted Treatment
Examines the geographic areas that are most dependent on health centers for medication-assisted treatment (MAT) for opioid use disorder. Compares statistics on DATA-waived providers and health centers with MAT patients across metropolitan, non-metropolitan, and rural health centers.
Date: 2021
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Community of Practice: Preventing and Reducing the Stigma of Substance Use Disorders in Rural Communities - Implementation and Lessons Learned
Report discusses strategies for reducing stigma around substance use disorders (SUDs) and SUD treatment in rural communities. Details the implementation of Communities of Practice sessions with participants and breaks down participant data and session timeline.
Date: 2021
Type: Document
Sponsoring organizations: Great Lakes PTTC, Prevention Technology Transfer Center Network
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Voices From the Field: A Qualitative Study of the Challenges and Promising Practices of Rural Public Health in Addressing HIV and Hepatitis C
Examines rural vulnerability to HIV and hepatitis C for people who inject drugs. Presents findings from interviews with 36 public health professionals from rural states, addressing funding limitations, staffing, public health infrastructure challenges, public health initiatives, and community education programs.
Author(s): Martha Elbaum Williamson, Karen B. Pearson, Amanda R. Burgess, Jennifer D. Lenardson, Erika C. Ziller
Citation: Journal of Health and Human Services Administration, 44(2), 114-136
Date: 2021
Type: Document
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High and Rising Mortality Rates Among Working-Age Adults
Identifies key drivers of increasing death rates and disparities in working-age mortality from 1990-2017 and examines modifiable risk factors that could alleviate poor health and widening health inequalities in the working-age population. Makes recommendations for future research and data collection, and explores potential policy implications. Mentions rural throughout. Features statistics on trends in working-age mortality by age, sex, race/ethnicity, cause of death, and geography.
Author(s): Committee on Rising Midlife Mortality Rates and Socioeconomic Disparities
Date: 2021
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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A Description of COVID-19 Lifestyle Restrictions Among a Sample of Rural Appalachian Women
Findings from a survey given to 33 women who had previously participated in a larger survey involving substance use and behavioral risks. Features demographics and statistics on substance use, mental health, and types of activity restrictions related to COVID-19.
Author(s): Michele Staton, Martha Tillson, J. Matthew Webster
Citation: Journal of Appalachian Health, 3(1), 4-17
Date: 2021
Type: Document
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Delaware State Health Improvement Plan: 2020 Annual Report
Assesses policy improvements and the alignment of activities among 9 key Delaware stakeholder groups with the 2018-2023 Delaware State Health Needs Assessment and State Health Improvement Plan. Includes sections on chronic disease, maternal and child health, substance use disorders, and mental health, and offers system-wide recommendations.
Additional links: Executive Summary
Date: 12/2020
Type: Document
Sponsoring organizations: Delaware Health and Social Services, University of Delaware Partnership for Healthy Communities
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Behavioral Health Barometer: United States, Volume 6
Provides a broad overview of behavioral health in the U.S. with an emphasis on illicit drug, alcohol, and tobacco use, as well as the estimated percentage of people living with serious mental illness. Breaks down data by demographic information, such as age, gender, race/ethnicity, and others, as well as by metro or nonmetro location. Data is from the 2019 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services.
Date: 12/2020
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Opioid Initiation and Injection Transition in Rural Northern New England: A Mixed-methods Approach
Highlights a study on opioid initiation and transition to opioid injection in rural New England. Bases findings on interviews with opioid users in 11 rural counties in Massachusetts, Vermont, and New Hampshire. Tracks the time and circumstances of first opioid use to first opioid injection.
Author(s): Kerry Nolte, Aurora L. Drew, Peter D. Friedmann, et al.
Citation: Drug and Alcohol Dependence, 217(1), 108256
Date: 12/2020
Type: Document
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A Guide to Understanding Mental Health Systems and Services in Texas
Presents an overview of the mental health system in Texas to help policymakers, advocates, and individuals, including the structure of and services provided by Texas state agencies. Discusses implications and outcomes of rural mental health and substance abuse prevention policy and programs.
Additional links: Supplement to the 5th Edition, 2022
Date: 12/2020
Type: Document
Sponsoring organization: Hogg Foundation for Mental Health
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