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Rural Health
Resources by Topic: Substance use and misuse

Results from the 2018 National Survey on Drug Use And Health: Detailed Tables
Presents data on use of illicit drugs, alcohol, and tobacco, trends in substance use disorder and mental health, and access to treatment for youth from age 12-17 and adults. Features statistics for a variety of demographic and geographic characteristics, including rural versus urban status.
Additional links: PDF Version
Date: 08/2019
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Unclassified Drug Overdose Deaths in the Opioid Crisis: Emerging Patterns of Inequity
Presents a study that explores correlations between certain geographic, economic, or demographic characteristics and missing data pertaining to drug overdose deaths. Looks at unclassified drug overdose deaths and breaks down data by sex, age, race, and economic status, among other factors. Depicts overdose mortality data in nationwide, county-level maps.
Author(s): Andrew J Boslett, Alina Denham, Elaine L Hill, Meredith C B Adams
Citation: Journal of the American Medical Informatics Association, 26(8-9), 767–777
Date: 08/2019
Type: Document
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Rural Access to MAT in Pennsylvania (RAMP): A Hybrid Implementation Study Protocol for Medication Assisted Treatment Adoption among Rural Primary Care Providers
Presents a study on the implementation of an intervention designed to expand access to medication-assisted treatment for people with opioid use disorder in rural Pennsylvania. Highlights the collaborators and roles within the intervention, breaking down the delivery and support infrastructure.
Author(s): Gerald Cochran, Evan S. Cole, Jack Warwick, et al.
Citation: Addiction Science & Clinical Practice, 14, 25
Date: 08/2019
Type: Document
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Creating a Public Health Community of Practice to Support American Indian and Alaska Native Communities in Addressing Chronic Disease
Describes use of the ECHO (Extension for Community Healthcare Outcomes) model to support and evaluate program objectives of the Centers for Disease Control and Prevention's Good Health and Wellness in Indian Country (GHWIC) program.
Author(s): Shawna L. Williams, Alexis Kaigler, Amy Armistad, David K. Espey, Bruce B. Struminger
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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Promoting Positive Mental Health in Rural Schools
Provides resources and information to assist with the mental health training and technical assistance needs of schools, administrators, teachers, support staff, and others serving rural and remote communities and students. Profiles a rural student who faces a variety of challenges, such as food insecurity, limited access to providers, drug use, mental health, social isolation, and more.
Author(s): Thomasine Heitkamp, Sarah Nielsen, Shawnda Schroeder
Date: 08/2019
Type: Document
Sponsoring organization: Mental Health Technology Transfer Center Network
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Evidence Brief: Managing Acute Pain in Patients with Opioid Use Disorder on Medication-assisted Treatment
Brief details the Veterans Health Administration's best practice on acute pain treatment for patients undergoing medication-assisted treatment for opioid use disorder. Includes supplemental materials that highlight search strategies and evidence tables among other materials.
Additional links: Supplementary Materials
Author(s): Stephanie Veazie, Katherine Mackey, Donald Bourne, Kim Peterson
Date: 08/2019
Type: Document
Sponsoring organization: Veterans Health Administration
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A Holistic Approach to Chronic Disease Prevention: Good Health and Wellness in Indian Country
Describes the development, funding, and implementation of a 5-year program, begun in 2014, supporting American Indian and Alaska Native (AI/AN) communities and tribal organizations to simultaneously address chronic diseases and their risk factors. Identifies approaches useful for agencies and organizations working with AI/AN populations.
Author(s): Nancy S. Andrade, David K. Espey, Mary E. Hall, Ursula E. Bauer
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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Life-Saving Naloxone from Pharmacies
Describes the role naloxone plays in reversing the effects of an opioid overdose. Discusses the need for greater access to naloxone, particularly in rural areas, and highlights trends in opioid and naloxone prescribing. Includes links to related CDC resources.
Date: 08/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Vital Signs: Pharmacy-Based Naloxone Dispensing — United States, 2012–2018
Reports on trends and characteristics of naloxone dispensing from retail pharmacies. Includes data for metropolitan, micropolitan, and rural counties on high-dose opioid and naloxone prescriptions. Also includes county-level maps of naloxone prescriptions per 100,000 people and naloxone prescriptions per 100 high-dose opioid prescriptions.
Author(s): Gery P. Guy Jr., Tamara M. Haegerich, Mary E. Evans, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(31), 679-686
Date: 08/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Urban-Rural Differences in Drug Overdose Death Rates, by Sex, Age, and Type of Drugs Involved, 2017
Data brief examining differences in urban and rural areas, using the most recent data from the National Vital Statistics System. Features statistics including age-adjusted rates of overdose rates from 1999-2017 by urban and rural residence, and rates of overdose death in 2017 by sex, age group, and type of drug, with breakdowns by urban and rural areas.
Author(s): Holly Hedegaard, Arialdi M. Minino, Margaret Warner
Citation: NCHS Data Brief, No. 345
Date: 08/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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